基于超声辅助的血管分级管理在治疗性单采 患者中的应用效果分析.

Objective To explore the application effect of ultrasound-assisted vascular classification management in therapeutic apheresis (TA) patients.Methods A total of 174 patients undergoing TA in the Department of Hematology of a tertiary hospital in Xiamen from January 2019 to November 2023 were selected as the study subjects.According to the treatment time, they were divided into an observation group (January 2022 to November 2023) and a control group (January 2019 to December 2021), with 87 patients in each group.The control group had venous access placed by the TA team based on personal experience, while the observation group underwent vascular classification management assisted by B-mode ultrasound.The differences between the two groups were compared in terms of one-time puncture success rate, central venous catheter (CVC) usage rate, venous catheter complications, apheresis-related adverse reactions, venous catheter costs, and patient satisfaction.Results Both groups completed the TA.The one-time puncture success rate in the observation group was 93.1%, which was significantly higher than the 81.6% in the control group (P＜0.05). The CVC insertion rate and associated costs in the observation group were lower than those in the control group, and patient satisfaction in the observation group was higher than that in the control group, with statistically significant differences (P＜0.05). Venous catheter complications in both groups were related to CVC, but there was no statistically significant difference in the incidence rate (P＞0.05). Conclusion Ultrasound-assisted vascular classification management can improve the one-time catheterization success rate and patient satisfaction in TA patients, while reducing the CVC insertion rate and associated costs. [ABSTRACT FROM AUTHOR]