现代仪器与医疗

超声引导下老年重症患者颈内静脉与股静脉穿刺置管的临床对比研究

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宗国 ^1a , 史为伍 ^1b , 宋垚 ^1a , 曹佩佩 ^1a , 谷丽萍 ²^,^*

现代仪器与医疗 | 临床研究 2026,32(2): 72-75

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现代仪器与医疗 |临床研究 2026 , 32 (2) : 72 -75

超声引导下老年重症患者颈内静脉与股静脉穿刺置管的临床对比研究

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宗国^1a, 史为伍^1b, 宋垚^1a, 曹佩佩^1a, 谷丽萍²^,^*

作者信息

^1a.上海市东海老年护理医院　超声医学科，上海　201303

^1b.上海市东海老年护理医院　医务科，上海　201303

^2.上海交通大学医学院附属第六人民医院超声医学科，上海　200233

通讯作者:

谷丽萍，女，硕士研究生，副主任医师，研究方向：临床影像医学

作者简介:

宗国，男，在读硕士研究生，研究方向：临床影像医学

Clinical comparative study on the internal jugular and femoral vein pipe-casting of elderly severe patients under ultrasound guide

Guo Zong^1a, Weiwu Shi^1b, Yao Song^1a, Peipei Cao^1a, Liping Gu²^,^*

Affiliations

^1a.Department of Ultrasound Medicine, Shanghai Donghai Senior Nursing Hospital, Shanghai 201303, China

^1b.Medical Department, Shanghai Donghai Senior Nursing Hospital, Shanghai 201303, China

^2.Department of Ultrasound in Medicine, Sixth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 200233, China

出版时间: 2026-04-10 doi: 10.11876/mimt202602012

文章导航

摘要

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目的

比较超声引导下颈内静脉穿刺和股静脉穿刺在老年重症患者中的临床应用效果和安全性，为临床医生选择最佳的穿刺方式提供参考。

方法

回顾性收集2023年1月至2025年10月在上海市东海老年护理医院接受中心静脉穿刺置管术的179例老年重症患者的临床资料。根据穿刺方式不同分为颈内静脉穿刺组（n=89）和股静脉穿刺组（n=90）。观察两组患者血管管腔前后径、横截面面积以及进针长度、穿刺用时、一次穿刺成功率、并发症发生率等指标。

结果

颈内静脉穿刺组的管腔前后径为（7.69±1.61）mm，长于股静脉穿刺组的（7.04±1.06）mm，差异有统计学意义（P<0.01）；颈内静脉穿刺组的横截面面积为（86.25±29.55）mm²，大于股静脉穿刺组的（78.39±13.11）mm²，差异有统计学意义（P=0.02）；颈内静脉穿刺组的进针长度为（41.56±6.16）mm，短于股静脉穿刺组的（47.67±6.27）mm，差异有统计学意义（P<0.01）；颈内静脉穿刺组穿刺用时为（14.20±1.99）min，少于股静脉穿刺组的（18.86±2.49）min，差异有统计学意义（P<0.01）；颈内静脉穿刺组一次穿刺成功率为93.26%，明显高于股静脉穿刺组的66.67%，差异有统计学意义（P<0.01）；颈内静脉穿刺组穿刺并发症的总发生率为8.99%，明显低于股静脉穿刺组的18.89%，差异有统计学意义（P<0.01）。

结论

老年重症患者行超声引导下颈内静脉穿刺置管术能够有效缩短穿刺时间和进针长度，提高一次穿刺成功率，降低并发症的发生率，安全性较高，值得临床推广应用。

关键词

超声引导 / 重症监护 / 静脉穿刺置管术 / 颈内静脉穿刺 / 穿刺成功率

Abstract

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Objective

To compare the effects and safety of ultrasound-guided internal jugular venous puncture and femoral venous puncture in clinical elderly patients, and provide a reference for clinicians to choose the best puncture method.

Methods

Clinical data of 179 elderly critically ill patients who underwent central venous catheterization at Shanghai Donghai Senior Nursing Hospital from January 2023 to October 2025 were retrospectively collected. All patients were divided into internal jugular vein group (n=89) and femoral vein group (n=90) according to different puncture approaches. Multiple indicators were compared between the two groups, including anteroposterior diameter of vascular lumen, cross-sectional area, needle insertion length, puncture time, one-time puncture success rate, and incidence of catheter-related complications.

Results

The anteroposterior luminal diameter was (7.69±1.61) mm in the internal jugular vein group, significantly longer than (7.04±1.06) mm in the femoral vein group (P<0.01). The vascular cross-sectional area of the internal jugular vein group was (86.25±29.55) mm², which was larger than (78.39±13.11) mm² in the femoral vein group (P=0.02). The needle insertion length was (41.56±6.16) mm in the internal jugular vein group, shorter than (47.67±6.27) mm in the femoral vein group (P<0.01). The puncture time in the internal jugular vein group was (14.20±1.99) min, which was significantly shorter than (18.86±2.49) min in the femoral vein group (P<0.01). The one-time puncture success rate reached 93.26% in the internal jugular vein group, obviously higher than 66.67% in the femoral vein group (P<0.01). Meanwhile, the incidence of puncture-related complications was 8.99% in the internal jugular vein group, markedly lower than 18.89% in the femoral vein group (P<0.01).

Conclusion

Ultrasound-guided internal jugular vein catheterization in elderly critically ill patients can effectively shorten puncture time and needle insertion length, improve the one-time puncture success rate, reduce the incidence of complications, with high safety, which is worthy of clinical promotion and application.

Key words

Ultrasound guidance / Intensive care / Veno-piping catheterization / Internal jugular venous puncture / Puncture success rate

引用本文

宗国, 史为伍, 宋垚, 曹佩佩, 谷丽萍. 超声引导下老年重症患者颈内静脉与股静脉穿刺置管的临床对比研究. 现代仪器与医疗, 2026 , 32 (2) : 72 -75 . DOI: 10.11876/mimt202602012

Guo Zong, Weiwu Shi, Yao Song, Peipei Cao, Liping Gu. Clinical comparative study on the internal jugular and femoral vein pipe-casting of elderly severe patients under ultrasound guide[J]. Modern Instruments & Medical Treatment, 2026 , 32 (2) : 72 -75 . DOI: 10.11876/mimt202602012

基金

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“市六-临港”紧密型健康联合体临床类科研项目(ynlglht202401)

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2026年第32卷第2期

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文章信息

doi: 10.11876/mimt202602012

首发时间：2026-10-23
出版时间：2026-04-10

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基金

“市六-临港”紧密型健康联合体临床类科研项目(ynlglht202401)

作者信息

^1a.上海市东海老年护理医院　超声医学科，上海　201303

^1b.上海市东海老年护理医院　医务科，上海　201303

^2.上海交通大学医学院附属第六人民医院超声医学科，上海　200233

通讯作者:

谷丽萍，女，硕士研究生，副主任医师，研究方向：临床影像医学

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2种不同金属材料的力学参数

科 Family	属数 Number of genus	种数 Number of species	占总种数比例 Percentage of total species (%)	属 Genus	种数 Number of species	占总种数比例 Percentage of total species (%)
鹅膏菌科Amanitaceae	2	11	5.26	鹅膏菌属 Amanita	10	4.78
小菇科 Mycenaceae	2	12	5.74	丝盖伞属 Inocybe	5	2.39
多孔菌科 Polyporaceae	8	14	6.70	蜡蘑属 Laccaria	5	2.39
红菇科 Russulaceae	3	23	11.00	小皮伞属 Marasmius	6	2.87
				小菇属 Mycena	11	5.26
				光柄菇属 Pluteus	5	2.39
				红菇属 Russula	17	8.13
				栓菌属 Trametes	5	2.39

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