颞浅动脉穿刺置管在婴幼儿连续有创动脉血压监测中实践研究.docVIP

颞浅动脉穿刺置管在婴幼儿连续有创动脉血压监测中实践研究 　　【摘要】 目的：探讨颞浅动脉穿刺置管在婴幼儿连续有创动脉血压监测中的临床意义。方法：选取本院收治的危重婴幼患儿50例为研究对象，均行连续有创动脉血压监测，根据置管方法的不同分为A组和B组，各25例，其中A组患儿给予颞浅动脉穿刺置管，B组患儿给予同侧桡动脉穿刺置，比较两组患儿穿刺置管一次成功率、平均置管成功时间、局部按压时间及并发症发生情况。结果：A组患儿一次穿刺成功率为84.00%（21/25），明显高于B组的44.00%（11/25），比较差异有统计学意义（P0.05）；A组平均置管成功时间明显短于B组，且拔管按压时间明显长于B组，比较差异均有统计学意义（P0.05）；A组患儿置管过程中出现管道移动或脱出发生率为4.00%，明显低于B组的24.00%，比较差异有统计学意义（P0.05）。结论：颞浅动脉穿刺置管应用于婴幼儿连续有创动脉血压监测中，可提高穿刺成功率，节省穿刺时间，且易固定，降低穿刺并发症，进一步提高了护士工作效率，保证工作质量。 　　【关键词】 颞浅动脉； 婴幼儿； 有创动脉； 血压监测 　　【Abstract】 Objective：To investigate the clinical significance of superficial temporal artery puncture and catheter in continuous invasive arterial blood pressure monitoring in infants and young children.Method：50 critically ill infants and young children in our hospital were selected as the subjects，they were continuously invasive arterial blood pressure monitoring，according to the different methods of catheterization，they were divided into superficial temporal artery group（group A） and radial artery group（group B），25 cases in each group.Group A received superficial temporal artery puncture，and group B received ipsilateral radial artery puncture.The success rate，average cathetering success time，local pressing time and complications were compared between the two groups.Result：The successful rate of puncture in group A was 84.00%（21/25），which was higher than 44.00%（11/25）of the group B，the difference was statistically significant（P0.05）.The average cathetering time of group A was significantly shorter than that of group B，and the local pressing time of group A was significantly longer than that of group B，the differences were statistically significant（P0.05）.The incidence of pipe movement or prolapse in group A was 4.00%，which was lower than 24.00% of group B，the difference was statistically significant（P0.05）.Conclusion：The superficial temporal artery puncture in infants and young children for invasive arterial blood pressure monitoring，can improve the success rate of puncture，save