| 张登庆,蔡文玉,叶胜义,陈子敏.经肘正中静脉或贵要静脉行临时心脏心脏起搏器安置术的临床观察[J].实用中西医结合临床,2022,22(9): |
| 经肘正中静脉或贵要静脉行临时心脏心脏起搏器安置术的临床观察 |
| A Clinical Observation of Placement of Temporary Pacemaker via Median Cubital Vein or Basilic Vein |
| 投稿时间：2022-05-31 修订日期：2022-06-11 |
| DOI： |
| 中文关键词: 肘正中静脉 贵要静脉 临时心脏起搏器 |
| 英文关键词: Cubital vein Basilic vein Temporary Pacemaker |
| 基金项目:福建省县级医院临床重点专科项目 |
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| 中文摘要: |
| 目的：探讨一种新临时心脏起搏器安置的静脉入路，即探讨经肘正中静脉或贵要静脉置入心脏临时起搏器的可行性、安全性和有效性。方法：本研究采取回顾性队列研究，纳入2020年2月至2022年3月在福建省晋江市医院在导管室行临时心脏起搏器植入的患者59例。其中，29例经肘正中静脉或贵要静脉入路，定义为观察组；30例经股静脉、锁骨下静脉或颈内静脉入路，定义为对照组。比较两组病例在临床基线特征、穿刺成功率、临时起搏器电极到位成功率、并发症发生率、电极脱位发生率、手术时间等的差别。结果：两组患者临床基线特征无显著差别，P值均＞0.05；与对照组相比，观察组病人在穿刺成功率（100% VS 86.7%，P＜0.05）、并发症发生率（0 VS 26.6% ，P＜0.05）、电极脱位率（0 VS 6.7% ，P＜0.05）、手术时间（23±3分钟 VS 42±12分钟，P＜0.05）均有明显统计学差异，两组病人临时起搏器电极到位成功率均为100%，无明显差别。结论：经肘正中静脉或贵要静脉植入临时心脏起搏器不但成功率高，而且并发症少，值得临床推广。 |
| 英文摘要: |
| Objective: To investigate the feasibility, effectiveness and safety of placement of temporary pacemaker via median cubital vein or basilic vein. Methods: By retrospective cohort study, a total of 59 patients were included who received the placement of temporary pacemaker under Catheter Lab..Twenty-nine of them were via median cubital vein or basilic vein as a puncture approach. Thirty patients were via femoral vein or subclavian vein or internal jugular vein as a puncture approach. The rates of puncture success, complications, dislocation of electrode catheter and operation time were compared between the two groups. Results: Compared with the control group, rate of puncture success(100% VS 86.7%, P＜0.05), rate of complications (0 VS 26.6%, P＜0.05), rate of dislocation of electrode catheter (0 VS 6.7%, P＜0.05) and operation time(23±3min VS 42±12min，P＜0.05) were all had statistical difference. Yet no difference of the rate of location of electrode catheter and basic clinical characters between the two groups, P＞0.05. |
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