不同部位输液置管在心肺复苏中的效果评价

目的比较不同部位输液置管在心肺复苏抢救中的效果。 方法收集2013年2月至2016年1月在赤峰学院附属医院完成的42例心肺复苏抢救患者的资料(男性25例，女性17例；年龄53～85岁)，将患者随机分为3组：颈内静脉置管组、锁骨下静脉置管组、骨髓腔置管组，比较3组建立补液通道所用的时间、置管补液后血压恢复的时间、置管成功率及导管相关性感染率。 结果骨髓腔输液通道所用时间短为(2.03±0.44)min，明显优于其他两组颈内静脉置管组(3.51±2.57)min，锁骨下静脉置管组(3.01±1.07)min]，差异有统计学意义；骨髓腔置管组成功置管后血压恢复时间较其他两组缩短(12.33±0.95)min vs(14.97±2.02)min，(13.97±1.01)min]，差异有统计学意义；骨髓腔置管成功率100%(10/10)]高于颈内静脉置管组83.5%(10/12)]和锁骨下静脉置管组87.5%(14/16)]，差异有统计学意义；骨髓腔置管组的导管相关性感染率低于其他两组(0% vs 6.25%，16.66%)，差异有统计学意义。 结论建立骨髓腔内通路操作简单、快捷、方便、时效性最佳，值得在心肺复苏患者救治过程中推广。

Clinical efficacy of infusion cathetering in different sites in patients with cardiopulmonary resuscitation

ObjectiveTo investigate and analyze the clinical effects of different sites of the infusion cathetering in patients with cardiopulmonary resuscitation (CPR). MethodsFrom February 2013 to January 2013 42 patients with cardiopulmonary resuscitation (CPR) were randomized into internal jugular vein catheter group, subclavian venipuncture catheter group and bone marrow cavity catheter group; after emergency treatment the effects of cathetering were compared among the three groups. ResultsIn bone marrow cavity catheter group time of setting up infusion channel (2.03±0.44)min) was shorter significantly than the other two groups (3.51±2.57)min; (3.01±1.07)min], with statistical difference (P< 0.05); after successful bone marrow cavity cathetering, restoration time of blood pressure was shortened as compared with other two groups (12.33±0.95)min vs.(14.97±2.02)min and(13.97±1.01)min], with statistical difference; the success rate of bone marrow cavity cathetering was 100% (10/10) was higher that that of internal jugular vein catheter group 83.5%(10/12)] and subclavian venipuncture catheter group 87.5%(14/16)], with statistical difference; catheter-related infections was lower than the other two groups(0% vs. 6.25% and 16.66%), with statistical difference (P< 0.05). ConclusionsThe infusion channel establishment procedure of bone marrow cavity is simple, quick, convenient and time effectiveness, which is worth promoting for CPR patients.