首页|锁骨下静脉置管术在脑卒中患者治疗中的应用效果及对并发症的影响

锁骨下静脉置管术在脑卒中患者治疗中的应用效果及对并发症的影响

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目的:探讨锁骨下静脉置管术在脑卒中患者治疗中的应用效果及对并发症的影响.方法:选取该院2021年2月—2023年2月收治的60例脑卒中患者为该次研究对象,根据不同部位置管术分为观察组(n=30例)与对照组(n=30例),观察组患者实施锁骨下静脉置管术,对照组患者实施浅静脉留置针.比较两组患者应用效果(1次置管成功率、穿刺时间、置管后留置时间)、并发症情况(导管堵塞、导管脱出、导管感染、静脉炎)及满意度情况.结果:观察组患者1次置管成功率为96.67%(29/30),显著比对照组患者的80.00%(24/30)高,差异有统计学意义(P<0.05).观察组患者穿刺时间比对照组短,置管后留置时间比对照组患者长,差异均有统计学意义(P<0.05).观察组患者导管堵塞、导管脱出、感染、静脉炎总发生率为6.67%(2/30),明显比对照组患者的33.33%(10/30)低,差异有统计学意义(P<0.05).观察组患者总满意度为96.67%,对照组的为70.00%,观察组满意度显著比对照组患者高,差异有统计学意义(P<0.05).结论:锁骨下静脉置管术在脑卒中患者治疗中的应用效果明显,能有效提升1次置管成功率,缩短穿刺时间,延长导管留置时间,降低并发症发生率,更易被患者认可,具有较好的临床推广价值.
Application Effect of Subclavian Vein Catheterization in the Treatment of Stroke Patients and its Influence on Complications
Objective:To explore the application effect of subclavian vein catheterization in the treatment of stroke patients and its impact on complications.Methods:Sixty stroke patients admitted to the hospital from February 2021 to February 2023 were selected as the study subjects.They were divided into an observation group(n=30 cases)and a control group(n=30 cases)based on different placement of catheterization.The observation group received subclavian vein catheterization,while the control group received superficial vein needle placement.Compare the application effects(success rate of first catheterization,puncture time,indwelling time after catheterization),complications(catheter blockage,catheter prolapse,catheter infection,phlebitis),and satisfaction between two groups of patients.Resuls:The success rate of one catheterization in the observation group was 96.67%(29/30),which was significantly higher than 80.00%(24/30)in the control group,and the difference was statistically significant(P<0.05).The observation group had shorter puncture time and longer indwelling time after catheterization compared to the control group,with statistically significant differences(P<0.05).The total incidence of catheter blockage,catheter detachment,infection,and phlebitis in the observation group was 6.67%(2/30),which was significantly lower than 33.33%(10/30)in the control group,and the difference was statistically significant(P<0.05).The total satisfaction rate of patients in the observation group was 96.67%,while the control group was 70.00%.The satisfaction rate of patients in the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The application effect of subclavian vein cathe-terization in the treatment of stroke patients is significant,which can effectively improve the success rate of one-time catheterization,shorten puncture time,extend catheter retention time,reduce the incidence of complications,and be more easily recognized by patients.It has good clinical promotion value.

Subclavian vein catheterizationSuperficial vein indwelling needleStrokeComplicationsSuccess rate of tube placement

洪良才、刘裕梅、段芳香、丁荣椿

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于都县人民医院神经内科(江西于都 342300)

锁骨下静脉置管术 浅静脉留置针 脑卒中 并发症 置管成功率

赣州市指导性科技计划项目

GZ2021ZSF619

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(2)
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