Effects of different disinfection methods on ultrasound imaging and application firmness of ultrasound-guided subclavian vein puncture
- VernacularTitle:不同消毒方法对超声引导锁骨下静脉穿刺超声成像和敷贴牢固度的影响
- Author:
Hai-Yan GAO
1
;
Zhen TIAN
;
Wen-Wen SUN
;
Hao WANG
;
Chun-Hui HU
Author Information
- Keywords: ultrasound guidance; subclavian vein puncture; disinfection method; ultrasound imaging; application
- From: Journal of Regional Anatomy and Operative Surgery 2024;33(5):432-435
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effects of different disinfection methods on ultrasound imaging and application firmness of ultrasound-guided subclavian vein puncture.Methods A total of 138 patients received ultrasound-guided subclavian vein puncture were selected as the study subjects and randomly divided into the chlorhexidine alcohol group,the iodophor group and the chlorhexidine alcohol+ iodophor group,with 46 cases in each group.They were disinfected with chlorhexidine alcohol,iodophor,and chlorhexidine alcohol and iodophor,respectively.The disinfection effect,ultrasound imaging and application fixation of patients in the three groups were compared.Results There was no statistically significant difference in the bacterial count or disinfection qualification rate of the puncture sites before and after disinfection of patients among the three groups(P>0.05).The ultrasound imaging clarity rate during puncture in the chlorhexidine alcohol group was significantly lower than those in the iodophor group and the chlorhexidine alcohol+iodophor group(P<0.05);while the rate of sticking up or shedding of application in the iodophor group 24 hours after puncture was significantly higher than those in the chlorhexidine alcohol group and the chlorhexidine alcohol+iodophor group(P<0.05).Conclusion Disinfecting the puncture area twice with chlorhexidine alcohol and then disinfecting the ultrasound exploration area once with iodophor can obtain satisfactory disinfection effect for patients undergoing ultrasound-guided subclavian vein puncture,with clearer ultrasound imaging and stronger adhesion of the application at the same time.
