摘要
目的探讨超声引导下锁骨下静脉置管(CVC)与外周穿刺中心静脉置管(PICC)对导管相关性血流感染(CRBS)的影响。方法选择2019年2月~2021年2月我院重症监护病房治疗的危重患者88例,按随机数字表法分为传统组(44例)和超声组(44例)。传统组采用PICC置管法置管,超声组在超声引导下行CVC置管,观察比较两组患者的穿刺时间、穿刺次数、导管留置时间、穿刺成功率及CRBS发生率。结果超声组的穿刺次数为(1.13±0.48)次少于传统组的(1.67±0.53)次,1针穿刺成功率(95.45%)高于传统组(81.82%),CRBS发生率(2.27%)低于传统组(18.18%),差异均有统计学意义(均P<0.05);两组患者的穿刺时间、导管留置时间及行2针、行3~5针穿刺成功率比较,差异无统计学意义(均P>0.05)。结论超声引导下CVC置管一次穿刺成功率高于PICC置管法,有利减少穿刺次数,降低CRBS的发生,减少了患者痛苦。
Objective To investigate the effects of ultrasound-guided subclavian vein catheterization(CVC)and peripheral puncture central venous catheterization(PICC)on the occurrence of catheter-related bloodstream infection(CRBS).Methods A total of 88 critically ill patients who were treated in the intensive care unit of our hospital from February 2019 to February 2021 were selected and divided into the traditional group(44 cases)and the ultrasound group(44 cases)according to the random number table method.The traditional group adopts PICC catheter placement method,and the ultrasound group adopts CVC catheter placement under ultrasound guidance.Statistics of puncture time,puncture times,catheter indwelling time,puncture success rate and CRBS incidence rate in the two groups were counted.Results The number of punctures in the ultrasound group(1.13±0.48)was less than that in the traditional group(1.67±0.53).The success rate of one-needle-puncture in the ultrasound group(95.45%)was higher than that of the traditional group(81.82%),and the incidence of CRBS(2.27%)Compared with the traditional group(18.18%),there were statistical difference(P<0.05 for each);there was no statistical difference in the puncture time,catheter indwelling time,and the success rate of 2-needle and 3-needle puncture between the two groups(P>0.05 for each).Conclusion The success rate of one-time puncture for CVC catheter placement under ultrasound guidance is higher than that of PICC catheter placement method,which is beneficial to reduce the number of punctures,reduce the occurrence of CRBS,and relieve the pain of patients.
作者
李宗武
罗文
钱超
LI Zong-wu;LUO Wen;QIAN Chao(Department of Surgery,Kunming Hospital of Traditional Chinese Medicine,Kunming City,Yunnan Province,650500,China)
出处
《蛇志》
2021年第4期434-435,444,共3页
Journal of Snake
关键词
导管相关性血流感染
超声引导下锁骨下静脉置管
外周穿刺中心静脉置管
穿刺次数
一次穿刺成功率
Catheter-related bloodstream infection
Ultrasound-guided subclavian vein catheterization
Peripheral puncture central vein catheterization
Puncture times
Success rate of one puncture