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1、2007年5月护理学报May,2007第14卷第5期JournalofNursing(China)Vol.14No.51【论著】下肢深静脉顺行造影术不同穿刺部位和方法对比研究魏光楠,廖新彬,邱菊芳,张杏荣(华中科技大学同济医学院附属荆州医院医学影像部,湖北荆州434020)[摘要]目的对比研究下肢深静脉顺行造影术不同静脉穿刺部位和方法的应用效果。方法将224例患者(300例次下肢造影)按检查时间分为观察组和对照组各150例次下肢造影。观察组逆心穿刺内踝旁侧的大隐静脉;对照组向心穿刺拇指基底部旁侧的浅静脉或足
2、背浅静脉。对两组下肢深静脉显影效果、静脉穿刺成功率、患者的疼痛感进行比较。结果两组静脉穿刺成功率、患者的疼痛感比较,差异均有统计学意义(P<0.01);下肢深静脉显影效果比较,差异无统计学意义(P>0.05)。结论下肢深静脉顺行造影术采用逆心穿刺内踝旁侧大隐静脉,可提高静脉穿刺成功率、减轻患者的疼痛且血管显影效果不变。[关键词]下肢深静脉顺行造影;大隐静脉;逆心穿刺;显影效果;穿刺成功率;疼痛[中图分类号]R814.43[文献标识码]A[文章编号]1008-9969(2007)05-0001-02Compa
3、rativeStudyofEffectsofDifferentPuncturePointsandMethodsinVenographyofDeepVeininLowerExtremityWEIGuang-nan,LIAOXin-bin,QIUJu-fang,ZHANGXing-rong(Dept.ofMedicalImaging,JingzhouHospital,HuazhongScienceandTechnologyUniversity,Jingzhou434020,China)Abstract:Obje
4、ctiveTostudyandcomparetheeffectsofdifferentpuncturepointsandmethodsinvenographyofdeepveininlowerextremity.Methods224patients(300lowerextremities)weredividedintocontrolgroupandobservationgroupaccordingtothetimeofchecking,witheachgrouphaving150lowerextremiti
5、es.Inobservationgroup,thecentrifugalpuncturewasperformedbythegreatsaphenousveinbesideankle,whileincontrolgroup,thecentripetalpuncturewasperformedbysuperficialveinnearthebottomofthumboronthebackoffoot.Theeffectofvenography,thesuccessfulrateofveinpunctureand
6、patients’paindegreeoftwogroupswerecompared.ResultsTherewassignificantdifferencestatisticallyinsuccessfulrateofpunctureandpatients’paindegree(P<0.01)andtherewasnosignificantdifferenceineffectofvenography(P>0.05).ConclusionTheimprovedpuncturepointandmethodof
7、venographyofdeepveininlowerextremitycanimprovethesuccessfulrate,alleviatethepatient’spainandmaintainthesameeffect.Keywords:venographyofdeepveininlowerextremity;greatsaphenousvein;centrifugalpuncture;effectofvenography;successfulrateofpuncture;pain下肢深静脉顺行造影
8、术穿刺部位,常规选择拇月进行的150例次下肢深静脉造影为对照组;2006指基底部旁侧的浅静脉或足背浅静脉远端[1-2]作向心年1-10月150例次下肢深静脉造影为观察组。300穿刺。临床上行下肢深静脉造影术的患者多伴有下例次行深静脉造影的下肢中,下肢水肿89例次,色肢水肿、色素沉着,甚至溃疡,而拇指基底部旁侧的素沉着124例次,溃疡12例次。两组性别、年龄、下浅静脉或足背浅静脉远端管径细且不易暴露,静脉肢静脉条件
