Contemporary Nursing
Contemporary Nursing. 2026; 7: (2) ; 10.12208/j.cn.20260096 .
总浏览量: 50
广西区南宁市邕宁区中医医院 广西南宁
*通讯作者: 黎秋香,单位:广西区南宁市邕宁区中医医院 广西南宁;
目的 分析颈外静脉留置针穿刺置管术在急危重症患者院前急救的应用效果。方法 选取2022年1月-2025年7月本人参与院前急救的50例急危重症患者作为研究对象,观察组(n=25)选择颈外静脉进行留置针穿刺,对照组(n=25)选择四肢静脉进行留置针穿刺,对比两组患者一次性静脉穿刺成功率、患者满意度。结果 观察组一次性静脉穿刺成功率高于对照组(P<0.05),差异具有统计学意义。观察组患者满意度高于对照组(P<0.05),差异具有统计学意义。结论 在急危重症患者的院前急救中,选择颈外静脉进行留置针穿刺置管,能快速建立静脉通道,提高一次性静脉穿刺成功率、提高患者满意度,值得在院前急救工作中应用和推广。
Objective To evaluate the efficacy of external jugular vein cannulation in emergency pre-hospital care for critically ill patients. Methods A total of 50 critically ill patients (25 in the observation group and 25 in the control group) were enrolled from January 2022 to July 2025. The observation group received external jugular vein cannulation, while the control group received intravenous cannulation from limb veins. Both groups were compared for single-draw venipuncture success rates and patient satisfaction. Results The observation group demonstrated significantly higher single-draw success rates (P<0.05) and patient satisfaction levels (P<0.05) than the control group. Conclusion External jugular vein cannulation for critically ill patients enables rapid venous access establishment, improves single-draw success rates, and enhances patient satisfaction. This method is recommended for implementation in emergency pre-hospital care and should be promoted for wider application.
[1] 倪汉萍.品管圈在改善院前急危重症病人静脉留置针一次穿刺成功率中的应用 [J].循证护理,2021,7(9):1245-1249.
[2] 王孝婧.危重症患儿经外周静脉穿刺中心静脉置管后静脉血栓形成危险因素分析[J].中国医药导报,2023,20(33): 113-116.
[3] 王娜,蒋丽丹,徐跃峤,等.神经外科ICU患者感染情况调查及危险因素分析[J].中国医刊,2022,57(2):213-216.
[4] 袁远宏,张慧,肖政辉,等.转运呼吸机在危重患儿院际转运中的应用研究[J].中国当代儿科杂志,2023,25(3): 284-288.
[5] 陈瑞芳,何巧贤,陈华敏,等.颈外静脉留置针输液技术在急诊急救中作用[J].护理与临床,2021,25(24):3431-3433.
[6] 熊嵌,陈佳,邢思思.留置针与改良中长导管在危重脑卒中患者中的护理效果[J].国际护理杂志,2022,41(19): 3457-3461.
[7] 杨雅娟,林月娟,黄冬凤.颈外静脉置管在ICU患者治疗用药中的应用效果观察[J].医学理论与实践,2024,37(11): 1937-1939.
[8] 潘立珍,黄丽萍. 单手两指送管法在院前危急重症患者静脉留置针穿刺中的应用[J].母婴世界,2021,(10):276.
[9] 张佩瑶,王晶.床旁超声引导与传统触摸法在ICU老年危重患者足背动脉穿刺置管中的效果比较[J].使用临床医药杂志,2020,24(11):17-20.
[10] 张花,盛晓郁.失效模式与效应分析用于新生儿静脉留置针安全管理中的护理效果[J].护理实践与研究,2023, 20(2):282-285.