四川医学2017，Vol.38Issue(12)：1370-1372,3.DOI:10.16252/j.cnki.issn1004-0501-2017.12.004
超声在重症患者PiCCO置管操作中的应用研究
Application of Ultrasound in PiCCO Catheterization in Critical Patients
摘要
Abstract
Objective To evaluate the application value of ultrasound assessed and guided puncture in PiCCO catheterization in critical patients.Methods 99 cases of critical patients planned to undergo PiCCO monitor during June 2015 and May 2017 in Department of Critical Care Medicine were included,and randomly divided into conventional group(50 patients)and ultrasound group(49 patients).The success rate of catheterization as well as first-time puncture,puncture time and incidence of complications of the two groups were observed and recorded.Anatomical location of femoral artery and vein,statistics of arterial plaque and occlusion in ultrasound group were collected.Data were analyzed by SPSS 18.0.Results The success rate of catheterization in conventional group and ultrasound group was 94％ and 100％,respectively(P ＞ 0.05).Success rate of first-time puncture in conventional group was 56.0％,which was significantly lower than 85.4％ of ultrasound group(P ＜ 0.05).Average puncture time of conventional group was (13.03 ± 5.29) min,significantly longer than (10.84 ± 3.17) min of ultrasound group (P ＜ 0.05).There were 8 cases (16.0％) occurring complications in conventional group,significantly more than 2 cases (4.2 ％) of complications in ultrasound group.Conclusion Femoral artery PiCCO catheterization of critical patients under ultrasound assessment and guidance can promote success rate of both catheterization and first-time puncture,reduce puncture time and complications,worthy of popularization and application in PiCCO monitor technology of Critical Care Medicine.关键词
PiCCO/超声/股动脉置管/重症医学Key words
PiCCO/ultrasound/femoral artery catheterization/critical care medicine分类
医药卫生引用本文复制引用
佟琳,孙小聪,钟贤,观春明,汤建勇,邓烈华..超声在重症患者PiCCO置管操作中的应用研究[J].四川医学,2017,38(12):1370-1372,3.基金项目
湛江市科技计划项目(编号:2015B101) （编号:2015B101）
