摘要
目的探讨B超引导下45°斜轴平面内法与60°斜轴平面内法颈静脉置管在肠癌化疗患者中的应用。方法选取2018年6月至2018年12月间北京市平谷区医院收治的200例肠癌化疗患者,采用随机数字表法分为研究组和对照组,每组100例。对照组患者采用B超引导下45°斜轴平面内法颈静脉置管,研究组患者采用B超引导下60°斜轴平面内法颈静脉置管,比较两组患者刺入颈静脉时间、置管完成时间、穿刺次数、一次性穿刺成功率、置管成功率、置管后并发症(局部血肿、气胸和误穿颈动脉)发生率和患者对置管满意度。结果研究组患者刺入颈静脉时间和置管完成时间均较对照组短,穿刺次数较对照组少,两组比较,差异均有统计学意义(均P <0. 05)。两组患者均在B超引导下颈静脉置管成功,研究组患者一次性穿刺成功率大于对照组,差异有统计学意义(P <0. 05)。两组患者均未发生误穿颈动脉,均有1例气胸发生,但研究组患者局部血肿发生次数较少,术后并发症发生率比较,差异有统计学意义(P <0. 05)。研究组患者总满意度较对照组高,差异有统计学意义(P <0. 05)。结论 60°斜轴平面内法颈静脉置管可减少肠癌化疗患者刺入颈静脉时间、置管完成时间和总穿刺次数,一次性穿刺成功率较高,并发症发生少,患者满意度高,值得临床推广使用。
Objective To explore the application of oblique axis in-plane jugular vein catheterization in 45 and 60 degree in patients with intestinal cancer undergoing chemotherapy. Methods A total of200 patients with intestinal cancer undergoing chemotherapy who were enrolled from June 2018 to May 2018 were selected and randomly divided into the study group and the control group according to the random number table method with 100 patients in each group. The study group was treated with a 60 degree oblique axial in-plane jugular vein catheterization under the guidance of B-ultrasound and the control group was treated with a 45 degree oblique axial in-plane jugular vein catheterization under the guidance of B-ultrasound.Time of jugular vein puncture,time of catheterization,number of punctures,success rate of one-time puncture,success rate of catheterization,incidence of postoperative complications( local hematoma,pneumothorax and miscarriage of the carotid artery) and patients’ satisfaction with catheterization were compared.Results Time of jugular vein puncture and the time of catheterization was significantly shorter in the study group than in the control group( all P < 0. 05). The number of punctures was less in the study group than in the control group punctured( P < 0. 05). Punctures were successfully completed under the guidance of B-ultrasound in both groups and the success rate of one-time puncture was 95% higher in the study group than in the control group( P < 0. 05). No miscarriage of the carotid artery occurred in both groups. Pneumothorax occurred in 1 patient in both groups,but local hematoma occurred less frequently in the study group There was significant difference in postoperative complications between the two groups( P < 0. 05). The overall satisfaction was significantly higher in the study group than in the control group( P < 0. 05). Conclusion Oblique axial in-plane jugular vein catheterization in the 60 degree can reduce the time of of jugular vein puncture,the time of catheterization,the overall num
作者
崔婷婷
周国庆
陈东升
周汝红
CUI Ting-ting;ZHOU Guo-qing;CHEN Dong-sheng;ZHOU Ru-hong(Department of Anesthesiology,Pinggu District Hospital,Beijing 101200,China;Department of Anesthesiology,924th Hospital of PLA,Guilin 541002,China)
出处
《中国肿瘤临床与康复》
2019年第1期50-53,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
北京市平谷区医院院内课题(pgyy2018-17)
关键词
B超引导
颈静脉置管
斜面内法
肠肿瘤
药物疗法
Ultrasound guidance
Jugular vein catheterization
Inclination method
Intestinal neoplasms
Drug therapy
