颈外静脉单人二次加压穿刺技术在休克患者急诊手术中的应用研究

doi:10.3761/j.issn.2096-7446.2025.11.020

Abstract

Abstract:

Objective To explore the application effect of single-person secondary compression puncture technique of external jugular vein in emergency surgery for patients with shock. Methods A total of 116 patients undergoing shock emergency surgery with external jugular vein puncture between January 2023 and December 2024 were selected as study participants. They were randomly assigned to an experimental group and a control group，with 58 patients in each group. The experimental group established an external jugular vein access using a single-person double-compression puncture technique，whereas the control group established venous access via conventional double-person blind compression of the external jugular vein. Comparisons were made between the two groups in terms of the first-attempt puncture success rate，overall puncture success rate，venous blood return time after puncture，time taken for successful puncture，incidence of infusion obstruction，and incidence of complications. Results The success rates of both first-attempt puncture and overall puncture in the experimental group were significantly higher than those in the control group，with statistically significant differences（P<0.05）. Compared with the control group，the experimental group exhibited a significant reduction in both the time taken for venous blood return and successful puncture，as well as a decrease in the incidence of infusion obstruction，all with statistically significant differences（P<0.05）. Furthermore，the incidence of infusion-related complications was lower in the experimental group（1.72%） than in the control group（12.07%）. Conclusion The single-person secondary compression puncture technique for external jugular vein can significantly improve the first-attempt puncture success rate and total success rate of external jugular vein access establishment in emergency surgery for shock patients，shorten the puncture vein blood return time and puncture success time，reduce the incidence of infusion obstruction and complications，and improve the efficiency and quality of emergency nursing.

Key words: Straight Indwelling Needle, External Jugular Vein, Shock, First Aid, Operating Room

WU Yanhua, XU Binbin, WANG Jinping, WANG Yi, YONG Yongfang. Research on the application of external jugular vein single-person secondary compression puncture technique in emergency surgery for shock patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(11): 1403-1408.

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References 18

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Research on the application of external jugular vein single-person secondary compression puncture technique in emergency surgery for shock patients

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