骑跨锁骨技术超声引导下腋静脉与锁骨下静脉穿刺效果分析

Analysis of Ultrasound-Guided Axillary Vein Puncture and Subclavian Vein Puncture with Straddle Clavicle Technique

目的:探讨骑跨锁骨技术超声引导下腋静脉与锁骨下静脉穿刺在临床中的应用效果。方法:选取2023年1月-2024年1月新疆维吾尔自治区塔城地区人民医院收治的200例需要中心静脉置管治疗的患者为研究对象,按照随机数字表法将患者分为对照组与研究组,每组100例。对照组采用骑跨锁骨技术超声引导下腋静脉穿刺,研究组采用锁骨下静脉穿刺。对比两组的穿刺情况、超声影像学情况、并发症发生情况及临床满意度。结果:研究组一次穿刺成功率为94.00%,高于对照组的77.00%,二次成功率为6.00%,低于对照组的23.00%,差异均有统计学意义(P<0.05)。研究组静脉深度、静脉最大内径均长于对照组,超声定位时间短于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为5.00%,低于对照组的13.00%,差异有统计学意义(P<0.05)。研究组临床总满意度为94.00%,高于对照组的82.00%,差异有统计学意义(P<0.05)。结论:与骑跨锁骨技术超声引导下腋静脉穿刺相比,锁骨下静脉穿刺的一次穿刺成功率高,并发症发生率低,且临床满意度高,具有较高的临床应用价值。

Objective:To investigate the clinical application of ultrasound-guided axillary vein puncture and subclavian vein puncture with straddle clavicle technique.Methods:A total of 200 patients in Tacheng District People’s Hospital of Xinjiang Uygur Autonomous Region in need of central venous catheter therapy from January 2023 to January 2024 were selected as the study objects.The patients were divided into a control group and a study group according to random number table method,with 100 cases in each group.The control group underwent ultrasound-guided axillary vein puncture using straddle clavicular technique,while the study group underwent subclavicular vein puncture.The puncture conditions,ultrasound imaging conditions,complications and clinical satisfaction of the two groups were compared.Results:The success rate of primary puncture in the study group was 94.00%,which was higher than 77.00%of the control group,and the success rate of secondary puncture was 6.00%,which was lower than 23.00%of the control group,with statistical significance(P<0.05).The venous depth and maximum internal diameter of the study group were longer than that of the control group,and the ultrasonic positioning time was shorter,with statistical significance(P<0.05).The complication rate of the study group was 5.00%,which was lower than 13.00%of the control group,the difference was statistically significant(P<0.05).The total clinical satisfaction of the study group was 94.00%,which was higher than 82.00%of the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with ultrasound-guided axillary venipuncture,subclavian venipuncture has higher success rate,lower complication rate and higher clinical satisfaction,so it has higher clinical application value.