Miao Shuai, Wang Xiuli, Zou Lan, Zhao Ye, Wang Guanglei, Liu Yuepeng, Liu Su
1 Department of Anesthesiology, The Affiliated Hospital of XuZhou Medical University, XuZhou, Jiangsu, China.
2 Center Of Clinical Research and Translational Medicine, Lianyungang Oriental Hospital, Lianyungang, Jiangsu, China.
J Int Med Res. 2018 Jul;46(7):2587-2594. doi: 10.1177/0300060518765344. Epub 2018 Apr 5.
Objective This meta-analysis was performed to evaluate the safety and efficacy of the oblique-axis plane in ultrasound-guided internal jugular vein puncture. Methods We searched Embase, PubMed, the Cochrane Library, Web of Science, and China National Knowledge Infrastructure for relevant randomized clinical trials comparing the oblique axis with the short axis in ultrasound-guided internal jugular vein puncture. Results Five randomized clinical trials were included in this meta-analysis. The pooled meta-analysis showed that the incidence of arterial puncture in the oblique-axis group was significantly lower than that in the short-axis group. No significant difference was found in the first-pass success rate between the oblique-axis group and short-axis group. Additionally, there were no significant differences in the puncture success rate or number of attempts required between the two groups. Conclusion Ultrasound-guided internal jugular vein puncture using the oblique-axis plane reduced the risk of arterial puncture, but no difference was found in the first-pass success rate, puncture success rate, or number of attempts required.
目的 进行此项荟萃分析以评估超声引导下颈内静脉穿刺中斜轴平面的安全性和有效性。方法 我们检索了Embase、PubMed、Cochrane图书馆、Web of Science和中国知网，以查找比较超声引导下颈内静脉穿刺中斜轴平面与短轴平面的相关随机临床试验。结果 本荟萃分析纳入了五项随机临床试验。汇总的荟萃分析表明，斜轴平面组的动脉穿刺发生率显著低于短轴平面组。斜轴平面组与短轴平面组的首次穿刺成功率无显著差异。此外，两组在穿刺成功率或所需穿刺次数方面也无显著差异。结论 使用斜轴平面进行超声引导下颈内静脉穿刺可降低动脉穿刺风险，但在首次穿刺成功率、穿刺成功率或所需穿刺次数方面未发现差异。
