Correlation between body mass index and elbow vein grading in patients with metabolic syndrome based on superficial vein evaluation
10.3760/cma.j.cn211501-20230222-00442
- VernacularTitle:基于浅静脉评价的代谢综合征患者体质量指数与肘部静脉分级表达的相关性研究
- Author:
Xia CAO
1
;
Jianying ZHANG
;
Hui LIANG
;
Wei GUAN
;
Ping JI
;
Chang LIU
;
Yin YAO
Author Information
1. 南京医科大学第一附属医院麻醉手术科，南京 210029
- Keywords:
Metabolic syndrome;
Superficial vein grading;
Body mass index;
Venipuncture
- From:
Chinese Journal of Practical Nursing
2023;39(23):1767-1772
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the correlation between body mass index (BMI) and the graded expression, subcutaneous depth, and diameter of elbow veins (cephalic vein, median vein, basilic vein) in patients with metabolic syndrome, to provide a method and theoretical basis for precise puncture of peripheral veins in obese patients.Methods:From January to October 2021, a total of 767 patients with metabolic syndrome with gastric volume reduction were selected as the study subjects by retrospective cohort study from the first Affiliated Hospital of Nanjing Medical University. According to the quartile Q1, M and Q3 of BMI level, they were divided into four groups: group A, group B, group C and group D. The subcutaneous depth and diameter of the cephalic vein, median vein and basilic vein were measured by B-ultrasound, and the three veins were evaluated and graded according to the grading criteria of superficial veins.The correlation between BMI and the subcutaneous depth and diameter of the three elbow veins was analyzed, and collected data such as puncture method and puncture times. Results:There was no significant correlation between BMI and subcutaneous depth and vessel diameter of the basilic vein ( r = 0.041 and 0.046, both P>0.05), the level of BMI was positively correlated with the subcutaneous depth and diameter of cephalic vein ( r = 0.275 and 0.117, both P<0.05) and median vein ( r = 0.236 and 0.148, both P<0.05), and a linear regression relationship was found ( OR values were 1.013-1.031, all P<0.05). 187 cases had direct puncture conditions under direct vision, and the success rate of one puncture was 86.63%(162/187).Venipuncture was completed under the guidance of B-mode ultrasound for 25 cases with failure under direct vision and 580 cases without direct puncture conditions under direct vision, the success rate of one puncture was 98.51% (596/605). Conclusions:With the increase of BMI level in patients with metabolic syndrome, the depth and diameter of both cephalic vein and median vein increase, venous exposure is difficult to express. The visual vein puncture guided by B-ultrasound is more accurate and catheterization is more reliable.
