超声引导全程可视化桡动脉穿刺置管方法在肥胖病人麻醉中的应用

陈齐; 郭敏; 蒋维维; 盛奎; 黄春霞; 宋永生; 胡宪文; 张野

doi:10.13898/j.cnki.issn.1000-2200.2022.04.012

超声引导全程可视化桡动脉穿刺置管方法在肥胖病人麻醉中的应用

Application value of ultrasound-guided whole-process visualization of radial artery puncture and catheterization in anesthesia of obese patients

摘要

摘要:
目的评价超声引导全程可视化桡动脉穿刺置管方法在肥胖病人麻醉中的临床应用效果。
方法选择体质量指数≥28 kg/m²拟行手术，需要动脉穿刺置管病人100例，随机分为超声引导长轴平面内组(L组)和超声引导短轴平面外组(S组)；比较穿刺一次成功率、穿刺时间、穿刺次数、穿刺并发症等。
结果L组穿刺一次成功率高于S组(P < 0.05)；S组4例出现穿刺部位血肿，均更换对侧桡动脉穿刺成功，L组未发生穿刺部位血肿，2组差异有统计学意义(P < 0.05)；2组病人穿刺时间、穿刺次数、穿刺针使用数量差异均无统计学意义(P>0.05)。
结论超声引导长轴全程可视化桡动脉穿刺置管操作成功率高于超声引导短轴平面外技术。

Abstract:
ObjectiveTo evaluate the clinical effectiveness of ultrasound-guided whole-process visualization of radial artery puncture catheterization in anesthesia of obese patients.
MethodsOne hundred patients with body mass index ≥28 kg/m² through arterial puncture catheterization were randomly divided into the group L(n=50, radial arterial cannulation with whole-process visible ultrasound-guided long-axis in-plane technique) and group S(n=50, radial arterial cannulation with ultrasound-guided short-axis out-of-plane technique).The success rate at first-time attempt, puncture time, puncture times and puncture complications were compared between two groups.
ResultsThe success rate at first-time attempt in group L was significantly higher than that in group S(P < 0.05).In group S, 4 patients with hematoma at the puncture site were found, and the contralateral radial artery puncture were successful in all patients, no hematoma at the puncture site in group L was found, and the difference of which between two groups was statistically significant(P < 0.05).The differences of the puncture time, number of puncture and number of puncture needles between two groups were not statistically significant(P>0.05).
ConclusionsThe success rate of ultrasound-guided long-axis whole-process visualization of radial artery puncture and catheterizationis higher than that of ultrasound-guided short-axis out-of-plane technique.

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