摘要
目的:分析床旁B超引导下外周静脉留置针穿刺术在儿童重症监护室的应用效果。方法:选取2022年7月~2023年6月本院重症监护室收治的需要进行外周静脉穿刺手术的患儿40例作为研究对象,将其归为观察组,采用床旁B超引导下外周静脉留置针穿刺术,同时选取2020年12月~2022年5月重症监护室收治的需要进行外周静脉穿刺术的患儿40例,将其归为对照组,采用常规外周静脉留置针穿刺术,对比两组一次穿刺成功率、穿刺次数、血管评级、留置时间、置管成功率、并发症、脱落次数、转外周中心静脉导管(PICC)或中心静脉导管(CVC)的情况、穿刺费用。结果:观察组一次穿刺成功率、转PICC或CVC率、穿刺次数、脱落次数、穿刺费用、并发症发生率低于对照组,置管成功率、留置时间高于对照组(P<0.05)。结论:床旁B超引导下外周静脉留置针穿刺术在儿童重症监护室的应用效果显著。
Objective:To analyze the application effect of peripheral vein indwelling needle puncture guided by bedside ultrasound in pediatric intensive care units.Methods:40 children admitted to the intensive care unit of our hospital from July 2022 to June 2023 who required peripheral vein puncture surgery were selected as the research subjects.They were assigned to the observation group and underwent peripheral vein indwelling needle puncture under bedside ultrasound guidance.At the same time,40 children admitted to the intensive care unit from December 2020 to May 2022 who required peripheral vein puncture surgery were selected as the control group,using routine peripheral vein indwelling needle puncture,compare the success rate,number of punctures,vascular rating,indwelling time,catheterization success rate,complications,number of shedding,conversion to PICC or CVC,and puncture cost between the two groups.Results:The success rate of one puncture,conversion rate to PICC or CVC,puncture frequency,detachment frequency,puncture cost,and incidence of complications in the observation group were lower than those in the control group,while the success rate of catheterization and retention time were higher than those in the control group(P<0.05).Conclusion:The application effect of peripheral vein indwelling needle puncture guided by bedside ultrasound in children’s intensive care unit is significant.
作者
宋夏燕
邹彦
戈清
徐日升
荣冠嵩
胡佳佳
陈捷
SONG Xia-yan;ZOU Yan;GE Qing;XU Ri-sheng;RONG Guan-song;HU Jia-jia;CHEN Jie(Jiangxi Provincial Children’s Hospital,Jiangxi Nanchang 330038)
出处
《中国医疗器械信息》
2024年第15期133-135,共3页
China Medical Device Information
基金
江西省卫生健康委科技计划项目(项目名称:床旁B超引导下外周静脉留置针穿刺术在儿童重症监护室的应用与研究,项目编号:202311045)。
关键词
床旁B超引导
外周静脉留置针穿刺术
儿童重症监护室
穿刺成功率
bedside ultrasound guidance
peripheral vein indwelling needle puncture
child intensive care unit
the success rate of puncture
