Influence of different disinfectants on ultrasound-guided internal jugular vein puncture and adhesive application
- VernacularTitle:不同消毒剂对超声引导颈内静脉穿刺和敷贴粘合的影响
- Author:
Jin-zhu MA
1
;
Hai-yan GAO
;
Hao WANG
;
Ming-lan YANG
;
Chun-hui HU
;
Dong-liang WANG
Author Information
- Publication Type:Journal Article
- Keywords: disinfection methods; ultrasound guidance; internal jugular vein puncture; success rate of one-time puncture; application; adhesive force
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(2):147-150
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the influence of different disinfectants on the ultrasound-guided internal jugular vein puncture and adhesive application.Methods A total of 102 emergency patients with traumatic hemorrhage who underwent ultrasound-guided internal jugular vein puncture and catheterization were selected as the study subjects and randomly divided into the iodine group(51 cases)and the chlorhexidine-alcohol group(51 cases).Iodophor(0.5%effective iodine)and 2.0%chlorhexidine gluconate+70.0%ethanol were used for disinfection before puncture,respectively.The disinfection effect of the puncture site,puncture condition,ultrasound imaging,and adhesive force of the application of patients were statistically compared between the two groups.Results There was no significant difference in the bacterial count before disinfection,the bacterial count after disinfection or the qualified rate of disinfection at the puncture site of patients between the two groups(P>0.05).There were significant differences in the success rate of one-time puncture,the number of puncture and the time of puncture and catheterization between the two groups(P<0.05).There were significant differences in the rate of clear ultrasound images,adhesive force and rate of warping or shedding of the application between the two groups(P<0.05).Conclusion For emergency patients with traumatic hemorrhage,using iodophor(0.5%effective iodine)and 2.0%chlorhexidine gluconate+70.0%ethanol disinfection before ultrasound-guided internal jugular vein puncture can achieve good disinfection effects.Iodine disinfection can obtain clearer ultrasound images and a higher success rate of one-time puncture,but the adhesive force of the application is poor,making it prone to warping or shedding.
