首页|超声引导下动态针尖定位技术在静脉穿刺困难患儿外周静脉置管中的应用

超声引导下动态针尖定位技术在静脉穿刺困难患儿外周静脉置管中的应用

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目的 探讨超声引导下动态针尖定位技术在静脉穿刺困难患儿外周静脉置管中的应用效果。方法 选取2022年8月-2023年8月在江苏省苏北人民医院择期全身麻醉下行腹腔镜疝气修补术的60例患儿为研究对象。采用随机数字表法将患儿分为对照组(30例,C组)和超声引导下动态针尖定位组(30例,U组)。C组患儿镇静后采用传统外周静脉穿刺置管方法开通外周静脉通道,U组患儿镇静后在超声引导下采用动态针尖定位技术开通外周静脉通道。比较2组患儿首次静脉穿刺成功率、导管置入成功率、置管时间和并发症发生情况。结果 与C组比较,U组首次穿刺成功率、导管置入成功率较高,置管时间较短,差异有统计学意义(P<0。05)。穿刺后,C组5例患儿出现皮下淤血,U组2例患儿出现皮下淤血,但2组皮下淤血发生率差异无统计学意义(P>0。05)。结论 超声引导下动态针尖定位技术可以显著提高静脉穿刺困难患儿外周静脉置管成功率,缩短置管时间,有一定的临床借鉴意义。
Application of ultrasound-guided dynamic needle tip positioning technique in peripheral venous catheterization in children with venipuncture difficulties
Objective To investigate the application effect of ultrasound-guided dynamic needle tip positioning technology in peripheral venous catheterization in children with venipuncture difficul-ties.Methods A total of 60 children who underwent laparoscopic hernia repair under elective gener-al anesthesia in Subei People's Hospital of Jiangsu Province from August 2022 to August 2023 were enrolled.The children were divided into control group(30 cases,group C)and ultrasound-guided dynamic needle tip positioning group(30 cases,group U)by random number table method.After se-dation,the children in group C received the traditional peripheral venous puncture and catheterization to open the peripheral venous access,while the children in group U were sedated and received ultra-sound-guided dynamic needle tip positioning technology to guide the peripheral venous puncture and catheterization to open the peripheral venous access.The success rate of the first venous puncture,the success rate of catheter placement,the time of catheter placement,and occurrence of complica-tions werecompared between the two groups.Results Compared with group C,the success rate of first puncture and catheter placement in group U were significantly increased,and the time of catheter placement was significantly shortened(P<0.05).After puncture,subcutaneous congestion occurred in 5 children in group C and 2 children in group U,but there was no statistical significance in the in-cidence of subcutaneous congestion between the two groups(P>0.05).Conclusion Ultrasound-guided dynamic needle tip positioning technology can significantly improve the success rate of peripher-al venous catheterization and shorten the time of catheterization in children with venipuncture difficulties,which has certain clinical significance for reference.

ultrasoundvenipuncturecatheter placementcomplicationsdysphoria

罗超、朱玲

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扬州大学临床医学院/江苏省苏北人民医院麻醉科,江苏扬州,225001

扬州大学临床医学院/江苏省苏北人民医院手术室,江苏扬州,225001

超声 静脉穿刺 导管置入 并发症 穿刺困难

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(9)
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