改良超声引导技术与传统盲穿法在胸腔穿刺置管引流中的效果与安全性OA
Efficacy and Safety of Modified Ultrasound-guided Technique and Traditional Blind Puncture Method in Thoracic Puncture and Catheter Drainage
目的:探究改良超声引导技术和传统盲穿法在胸腔穿刺置管引流中的效果和安全性.方法:选取 2023 年 1 月—2025 年 12 月苏州市吴江区中医医院收治的 86 例行胸腔穿刺置管引流的患者作为研究对象.采用随机数字表法将患者分成观察组与对照组,每组 43 例.对照组采用传统盲穿法进行胸腔穿刺置管引流,观察组采用改良超声引导技术实施胸腔穿刺置管引流,比较两组一次性穿刺成功率、操作时间、置管时间、VAS 评分、并发症发生率、拔管时间、住院时间.结果:两组一次性穿刺成功率比较差异无统计学意义(P>0.05);观察组的操作时间、置管时间短于对照组,VAS 评分低于对照组(P<0.05).观察组并发症发生率低于对照组(P<0.05).观察组拔管时间早于对照组,住院时间短于对照组(P<0.05).结论:改良超声引导技术应用于胸腔穿刺置管引流能够减轻患者的疼痛感、降低并发症风险,缩短住院时间.
Objective:To investigate the efficacy and safety of modified ultrasound-guided technique and traditional blind puncture method in thoracic puncture and catheter drainage.Method:A total of 86 patients who underwent thoracic puncture and catheter drainage in Suzhou Wujiang District Hospital of Traditional Chinese Medicine from January 2023 to December 2025 were selected as the research subjects.The patients were divided into the observation group and the control group by the random number table method,with 43 cases in each group.The control group was treated with the traditional blind puncture method for thoracic puncture and catheter drainage,while the observation group was treated with the modified ultrasound-guided technique for thoracic puncture and catheter drainage.The one-time puncture success rate,operation time,catheterization time,VAS score,incidence of complications,extubation time and hospital stay of the two groups were compared.Result:There was no statistically significant difference in the one-time puncture success rate between the two groups(P>0.05).The operation time and catheterization time of the observation group were shorter than those of the control group,and the VAS score was lower than that of the control group(P<0.05).The incidence of complications of the observation group was lower than that of the control group(P<0.05).The extubation time of the observation group was earlier than that of the control group,and the hospital stay was shorter than that of the control group(P<0.05).Conclusion:The application of modified ultrasound-guided technique in thoracic puncture and catheter drainage can alleviate patients'pain,reduce the risk of complications and shorten the length of hospital stay.
胡洁敏;王德辉
苏州市吴江区中医医院(苏州市吴江区第二人民医院)超声科 江苏 苏州 215200苏州市吴江区中医医院(苏州市吴江区第二人民医院)超声科 江苏 苏州 215200
医药卫生
改良超声引导技术传统盲穿法胸腔穿刺置管引流
Modified ultrasound-guided techniqueTraditional blind puncture methodThoracic punctureCatheter drainage
《中国医学创新》 2026 (24)
71-74,4
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