论文部分内容阅读
目的探讨超声引导颈浅丛阻滞下颈内静脉置管在临床中的应用。方法 64例颈内静脉置管患者随机分为超声组(超声引导颈浅丛阻滞组)和对照组(局麻组),记录两组患者疼痛评分、舒适度评分和睡眠质量、焦虑评分及穿刺时间和并发症。结果与对照组相比,超声组颈内静脉穿刺后6、12、18h疼痛评分低、舒适度评分高,48h后睡眠质量、焦虑评分低(P<0.05),超声组的操作用时少及并发症发生率低(P<0.05)。结论超声引导颈浅丛阻滞下颈内静脉置管能提高留置舒适度,值得临床推广。
Objective To investigate the clinical application of ultrasound guided cervical jugular vein block in jugular vein catheterization. Methods 64 cases of patients with jugular vein catheterization were randomly divided into two groups: the ultrasound group (ultrasound guided cervical plexus block group) and the control group (local anesthesia group). The pain score, comfort score and sleep quality, anxiety score Puncture time and complications. Results Compared with the control group, the pain scores of 6,12,18 h after the jugular vein puncture in the ultrasound group were low, and the scores of comfort were high. After 48 hours, the sleep quality and anxiety score were lower (P <0.05) The incidence of disease was low (P <0.05). Conclusion Ultrasound-guided cervical plexus block under the jugular vein catheter can improve the retention comfort, is worth clinical promotion.