Analysis of Ultrasound-Guided Axillary Vein Puncture and Subclavian Vein Puncture with Straddle Clavicle Technique
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.
Central venous catheterUltrasound-guided axillary vein puncture using straddle clavicular techniqueSubclavian vein puncture
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