摘要
目的 深入观察床旁超声Needle模式在ICU危重症患者桡动脉穿刺置管中的应用价值。方法 设2022年1月至2023年12月为限,纳78例危重症患者为据,采用系统抽样法对其进行组间划分,A组(n=39):采用超声Needle模式引导下行桡动脉穿刺置管术,B组:采用脉搏触摸指导桡动脉穿刺置管术;最终观察两组临床资料、相关数据,展开分析比对。结果 统计学分析后发现,差异性策略采纳,所得效果也随之不同,A组显优B组,P值呈现小于0.05状态。结论 在ICU危重症患者穿刺置管形式的横向选择中,建议优先采用A组实施方案,即床旁超声Needle模式,可显著提高穿刺成功率,缩短穿刺时间,降低并发症发生率,可采纳。
关键词: 床旁超声Needle模式;ICU危重症;桡动脉穿刺置管;应用价值
Abstract
Objective To observe the application value of bedside ultrasound needle mode in radial artery puncture and catheterization in critically ill patients in ICU. Methods From January 2022 to December 2023, 78 critically ill patients were included and divided into groups by systematic sampling method. Group A (n=39): radial artery puncture and catheterization guided by ultrasound needle mode, group B: radial artery puncture and catheterization guided by pulse touch; finally, the clinical data and related data of the two groups were observed and analyzed and compared. Results After statistical analysis, it was found that the difference strategy was adopted, and the effect was different. Group A was significantly better than Group B, and the P value was less than 0.05. Conclusion In the horizontal selection of puncture and catheterization for critically ill ICU patients, it is recommended to give priority to the implementation plan of group A, that is, the bedside ultrasound needle mode, which can significantly improve the puncture success rate, shorten the puncture time, and reduce the incidence of complications, and can be adopted.
Key words: Bedside ultrasound needle mode; ICU critical illness; radial artery puncture and catheterization; application value
参考文献 References
[1] 陈英姿,林相彬,陈卫挺,等. 床旁超声Needle模式在ICU危重症患者桡动脉穿刺置管中的应用价值[J]. 中国乡村医药,2018,25(18):53-54. 1006-5180.2018.18.031.
[2] 薛瑾,王敏,程念开,等.成人重症患者桡动脉穿刺超声引导技术与触诊法比较的Meta分析[J].当代护士. 2024,31(6). 1006-6411.2024.06.007 .
[3] 张佩璠,王晶.床旁超声引导与传统触摸法在ICU老年危重患者足背动脉穿刺置管中的效果比较[J].实用临床医药杂志.2020,(11). 202011005 .
[4] 刘成仁,李婉玉,谢凤杰,等.超声引导下动脉穿刺置管术安全性和效果的Meta分析[J].牡丹江医学院学报. 2022, 43(6).
[5] 刘鹏,陆亿.床旁超声在儿科危重症中的临床应用进展[J].右江医学.2023,51(7).1003-1383.2023.07.014 .
[6] 汤利玲,宋佳,龚仕金.平面内超声引导桡动脉穿刺技术在危重症患者中的应用[J].中国乡村医药 . 2018 ,25 (12): 21-22.
[7] 王芬,幸莉萍,肖梅霞.超声引导下桡动脉穿刺正压置管在ICU休克患者中的应用[J].中国医学创新 . 2023 ,20 (16):155-158.
[8] 熊易之,莫军.分析在重症加强护理病房患者动脉穿刺置管中采用重症超声引导穿刺置管法对减少并发症的作用[J].大医生 . 2023 ,8 (06):130-132.
[9] 幸莉萍,段志胜,王芬.超声引导下桡动脉穿刺置管术在ICU患者中的应用研究[J].中国医学创新 . 2022 ,19 (14):158-162.
[10] 常丰收.超声引导长轴平面内联合短轴平面外技术在ICU休克患者桡动脉穿刺置管中的应用及穿刺成功率分析[J].医学食疗与健康 . 2021 ,19 (11):145-146.
[11] 韩运洋.系统评价与Meta分析-超声下短轴法和长轴法在桡动脉及中心静脉穿刺的应用比较[J].南方医科大学广东省:67.
[12] 陆俊江,廖建坤,梁国兴.重症超声应用于ICU患者动脉穿刺置管的临床效果研究[J].中国实用医药 . 2020 , 15 (22):110-112.