Analysis of the role of arterial puncture and catheterization in invasive blood pressure monitoring in critically ill patients
经鼻烟壶区动脉穿刺置管在重症患者有创血压监测中的作用分析

摘要

目的 探讨经鼻烟壶区动脉穿刺置管在重症患者有创血压监测中的作用。方法 收集2024年7月至2025年7月期间的100名进行IBPM的重症患者资料进行回顾性分析。按照穿刺方式的不同，将所有患者分为对照组与观察组。其中，对照组患者采用常规的经桡动脉穿刺置管（n=50例）。观察组患者采用经鼻烟壶区桡动脉穿刺置管（n=50例）。对比两组患者的动脉穿刺相关指标、腕关节功能、留置及压迫时间、疼痛程度。结果 观察组患者的动脉穿刺相关指标、腕关节功能、留置及压迫时间，均明显优于对照组患者，且疼痛程度明显更低，差异均有统计学意义（P＜0.05）。结论 采用经鼻烟壶区动脉穿刺置管进行有创血压监测，可提高穿刺成功率、减少穿刺次数、时间及压迫止血时间、延长留置使用时间、减少患者疼痛、对腕关节功能影响较小。

Abstract

Objective Exploring the role of arterial puncture and catheterization in the monitoring of invasive blood pressure in critically ill patients.
Methods Collect data from 100 critically ill patients who underwent IBPM from July 2024 to July 2025. Divided into control group and observation group according to different puncture methods. The control group used conventional radial artery puncture catheterization (n=50 cases). The observation group used radial artery puncture and catheterization through the snuff bottle area (n=50 cases). Compare the arterial puncture related indicators, wrist joint function, retention and compression time, and pain level between the two groups.
Results The arterial puncture related indicators, wrist joint function, retention and compression time of the observation group were significantly better than those of the control group patients, and the pain level was significantly lower, with statistical significance (P<0.05).
Conclusion   The use of arterial puncture and catheterization through the snuff bottle area for invasive blood pressure monitoring can improve the success rate of puncture, reduce the number, duration, and compression hemostasis time of puncture, prolong the retention time, reduce patient pain, and have minimal impact on wrist joint function.