SIMULYATSIYA QILINGAN CHO'NTAK ULTRATOVUSH YORDAMIDA ICHKI BO'YINBOG'GA KIRISH: IKKI QANOTLI VA MONOPLAN VIZUALIZATSIYA USULLARINI KUZATISH
Keywords:
Tomirlar, Ultratovush, Biplan, Kateterizatsiya asoratlari, SimulyatsiyaAbstract
Ultratovush tekshiruvida samaradorlik va xavfsizlikdagi afzalliklari tufayli markaziy venoz kirish uchun standartdir. Ko'pincha tekislikda va tekislikdan tashqarida vizualizatsiyalarda qo'llaniladi, ammo bitta texnikaning boshqasidan ustunligini ko'rsatadigan dalillar yo'q. Ushbu tadqiqotning maqsadi simulyatsiya qilingan modellardagi tekislikdagi va tekislikdan tashqari texnikalar ikki qanotli vizualizatsiya uchun zarur bo'lgan muvaffaqiyat va vaqtni solishtirish edi. Favqulodda vaziyatlar bo'yicha o'n nafar mutaxassis 48 ta simulyatsiya qilingan tadbirlarda ishtirok etdi, har bir voqea uchun vizualizatsiya texnikasini almashtirish. Har bir hodisa bo'yin venasiga kirish uchun simulyatsiya qilingan modelni tomir ichiga kanulyatsiya qilishni talab qildi, bunda maksimal uchta urinish mumkin. Har bir hodisa uchun zarur bo'lgan urinishlar soni, punksiyon va venoz kanulyatsiya muvaffaqiyati, orqa devorni qayta yo'naltirish va punksiyon qilish chastotasi, optimal oynani olish uchun zarur bo'lgan vaqt, tomir ichidagi ignani tasavvur qilish va yo'naltiruvchi simning o'tishi qayd qilingan. Har bir vizualizatsiya texnikasi uchun zarur bo'lgan muvaffaqiyat nisbati va vaqtlari solishtirildi. Kanulyatsiya muvaffaqiyat darajasi har uch texnika uchun 97% edi. Birinchi urinishdagi muvaffaqiyat ikki qanotli vizualizatsiya uchun 94% ni, tekislikda esa 97% ni tashkil etdi. Jarayon uchun o'rtacha umumiy vaqt tekislik ichidagi (27,3 s) va tekislikdan tashqarida (31 s) bilan solishtirganda ikki tomonlama vizualizatsiya uchun (30,2 s) yuqoriroq edi, ammo bu farq statistik jihatdan ahamiyatli emas edi. Kanulyatsiya muvaffaqiyati, ignani qayta yo'naltirish yoki orqa devorni punksiyon qilish chastotasida ikki tomonlama vizualizatsiya va tekislik ichidagi va tekislikdan tashqari texnikasi o'rtasida sezilarli farqlar yo'q edi. Ushbu natijalarni tasdiqlash uchun kattaroq namunalar bilan qo'shimcha tadqiqotlar talab qilinishi mumkin
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