实时超声引导静脉穿刺在增强CT检查肥胖患儿中的应用价值

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Abstract Objective To explore the clinical effect and advantages of the ultrasound-guided arterial puncture needle in the puncture tube of the median cubital vein of obese children.Methods Sixty children aged 5 to 14 with a weight index of BMI>24 and to be treated via the puncture tube in the median cubital vein in the Department of Orthopedics for Children between December 2013 and October 2015 were selected and randomly divided into the traditional method group (TM group, n=30) and the ultrasound-guided group (US group, n=30) according to the random number table generated by the computer. The time taken to prepare for the puncture, the time taken to insert the puncture tube, the total time, needle insertion times and success rate, the time after the successful tube insertion,the time the children left the operating room, and the occurrence of complications 24 h after operation were observed and recorded.24 h after operation, a follow-up was conducted to inquire about patients’ satisfaction with the surgery.Results The US group took a longer time to get ready for the puncture tube (TM group 1.9±0.7 min vs 3.4±0.7 min, P<0.01), but took much less time to insert the puncture tube than the TM group (TM group 3.8±4.9 min vs US group 1.4±0.5min, P=0.041).There was no statistically significant difference of the total operation time between the two groups of patients (P=0.422). The number of needle insertion was one in the US group,which was obviously smaller than that of TM group (TM group 2.0±1.8 times vs US group 1.0±0.0 times, P=0.028), but there was no statistically significant difference in the success rate,compliance and degree of satisfaction between the two groups (P=0.487).Conclusions The median cubital vein puncture with the guidance of ultrasound is safe and reliable, which can shorten the puncture time, reduce the times of repeated needle insertion, improve the success rate and prevent complications.

Key words： ultrasound vein catheter puncture

Received: 16 September 2016

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	Articles by authors
	ZHANG Ying
	ZHNAG Wei
	ZHOU Yan
	and LI Dongmei

Cite this article:

ZHANG Ying,ZHNAG Wei,ZHOU Yan等. Applicability of ultrasound guide venipuncture in contrast-enhanced CT examinations of obese children[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(4): 375-378.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I4/375

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