摘要
重症监护病房(ICU)中的危重症患者因病理生理状态复杂且病情进展迅速,常需行外周动脉导管置入术实施有创动脉血压监测。该技术通过实时、动态监测血流动力学参数,在测量准确性方面优于无创袖带测压法,尤其适用于循环休克、恶性心律失常及需大剂量血管活性药物维持血流动力学稳定的患者。然而,外周动脉导管置入作为侵入性操作技术,若操作不当可能引发穿刺部位出血、导管相关性感染、血栓形成及血管损伤等医源性并发症。本研究基于循证医学原则,系统检索PubMed、Web of Science、中国知网及万方数据库相关文献,结合循证医学证据,对危重症患者外周动脉导管置管的并发症及护理管理进行深入分析,总结了危重症患者外周动脉导管置管的并发症及护理要点,为提高危重患者有创血压监测的安全性和有效性提供依据。
In the Intensive Care Unit(ICU),critically ill patients frequently necessitate invasive arterial blood pressure monitoring via peripheral arterial catheterization due to their complex pathophysiological conditions and rapid disease progression.This technique,which offers real-time and dynamic hemodynamic parameter monitoring,demonstrates superior measurement accuracy compared to non-invasive cuff measurements,particularly for patients experiencing circulatory shock,malignant arrhythmias,or requiring high doses of vasoactive drugs to maintain hemodynamic stability.However,as an invasive procedure,improper peripheral arterial catheterization may result in complications such as bleeding at the puncture site,catheter-related infections,thrombosis,and vascular injury.Grounded in the principles of evidence-based medicine,this study systematically retrieved relevant literature from PubMed,Web of Science,CNKI,and Wanfang databases.By integrating evidence-based medical evidence,it conducted a comprehensive analysis of the complications and nursing management associated with peripheral arterial catheterization in critically ill patients.The study summarized the potential complications and critical aspects of nursing care for peripheral arterial catheterization in critically ill patients,thereby providing a foundation for enhancing the safety and efficacy of invasive blood pressure monitoring in this population.
作者
卢文颖
周凤
LU Wenying;ZHOU Feng(Department of Critical Care Medicine Ward 1,Affiliated Hospital of Guilin Medical College,Guilin,Guangxi 541001,China)
出处
《中国医药指南》
2025年第21期164-166,共3页
Guide of China Medicine
关键词
危重症患者
外周动脉导管置管
并发症
护理管理
Critically ill patients
Peripheral arterial catheterization
Complications
Nursing management
