[1]俞 雯.针对性护理在减少CT增强扫描造影剂外渗中的应用[J].医学信息,2022,35(22):181-183.[doi:10.3969/j.issn.1006-1959.2022.22.044]
 YU Wen.Application of Targeted Nursing in Reducing Contrast Agent Extravasation in CT Enhanced Scan[J].Journal of Medical Information,2022,35(22):181-183.[doi:10.3969/j.issn.1006-1959.2022.22.044]
点击复制

针对性护理在减少CT增强扫描造影剂外渗中的应用()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
181-183
栏目:
护理研究
出版日期:
2022-11-15

文章信息/Info

Title:
Application of Targeted Nursing in Reducing Contrast Agent Extravasation in CT Enhanced Scan
文章编号:
1006-1959(2022)22-0181-03
作者:
俞 雯
(南京医科大学附属逸夫医院门诊放射影像科,江苏 南京 211100)
Author(s):
YU Wen
(Outpatient Radiography Department,Sir Run Run Hospital Nanjing Medical University,Nanjing 211100,Jiangsu,China)
关键词:
针对性护理CT增强扫描造影剂外渗
Keywords:
Targeted nursingCT enhanced scanContrast agent extravasation
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.22.044
文献标志码:
A
摘要:
目的 探讨针对性护理在减少CT增强扫描造影剂外渗中的应用价值。方法 抽选本院2019年1月-2021年9月行CT增强扫描前实施针对性护理的患者52例设为观察组,抽选行CT增强扫描前实施常规护理的患者52例设为对照组。比较两组干预后造影剂外渗率、不良反应发生率、护理满意度及干预前后焦虑(HAMA)、抑郁(HAMD)评分。结果 观察组造影剂外渗率为1.92%,低于对照组的13.46%(P<0.05);观察组不良反应发生率低于对照组(P<0.05);观察组干预后HAMA、HAMD评分低于同组干预前、对照组(P<0.05);观察组护理总满意度高于对照组(P<0.05)。结论 针对性护理可减少CT增强扫描造影剂的外渗,减少患者不良反应发生率,改善不安情绪,提高护理满意度。
Abstract:
Objective To explore the application value of targeted nursing in reducing contrast agent extravasation in CT enhanced scan.Methods From January 2019 to September 2021, 52 patients who underwent targeted nursing before CT enhanced scan were selected as the observation group, and 52 patients who underwent routine nursing before CT enhanced scan were selected as the control group. The contrast agent extravasation rate, incidence of adverse reactions, nursing satisfaction, anxiety (HAMA) and depression (HAMD) scores before and after intervention were compared between the two groups.Results The extravasation rate of contrast agent in the observation group was 1.92%, which was lower than 13.46% in the control group (P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). The HAMA and HAMD scores of the observation group after intervention were lower than those of the same group before intervention and the control group (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).Conclusion Targeted nursing can reduce the extravasation of contrast agent in CT enhanced scan, reduce the incidence of adverse reactions, improve anxiety and improve nursing satisfaction.

参考文献/References:

[1]王冠杰,孙清海,陈焕蕾,等.CT增强扫描碘造影剂不良反应分析[J].中国药物警戒,2020,17(4):235-238.[2]杨春丽,汪海燕.分析接受CT增强扫描过程中碘造影剂相关不良反应的预防及护理方法[J].基层医学论坛,2017,21(30):4180-4181.[3]边喜英.针对性护理在CT增强扫描高速注射碘对比剂患者中的应用[J].中华灾害救援医学,2020,8(1):13-15,18.[4]Kim TY,Lee Y.Contrast-enhanced Multi-detector CT Examination of Parotid Gland Tumors: Determination of the Most Helpful Scanning Delay for Predicting Histologic Subtypes[J].J Belg Soc Radiol,2019,103(1):2.[5]Zhang Z,Zou H,Yuan A,et al.A Single Enhanced Dual-Energy CT Scan May Distinguish Lung Squamous Cell Carcinoma From Adenocarcinoma During the Venous phase[J].Acad Radiol,2020,27(5):624-629.[6]Tang Z,Yu D,Ni T,et al.Quantitative Analysis of Multiphase Contrast-Enhanced CT Images: A Pilot Study of Preoperative Prediction of Fat-Poor Angiomyolipoma and Renal Cell Carcinoma[J].AJR Am J Roentgenol,2020,214(2):370-382.[7]张记清.低对比剂用量优化三联扫描模式和心理护理在胸痛患者CT增强检查中的研究[D].太原:山西医科大学,2020.[8]肖亮国.CT增强扫描在诊断腹膜后肿瘤和肿瘤样病变中的应用[J].包头医学院学报,2018,34(10):76-77.[9]Zulkifle AM,Faisal M.Multiple asymptomatic vascular air embolisms following contrast-enhanced CT scan[J].Case Reports,2019,19(1):299-302.[10]Sharma A,Das CJ,Makharia GK,et al.Comparison of Contrast-Enhanced CT+CT Enterography and 68Ga-DOTANOC PET/CT in Gastroenteropancreatic Neuroendocrine Tumors[J].Clinical Nuclear Medicine,2020,13(1):69-76.[11]王丹萍.预见性护理干预对接受CT增强扫描患者不良反应发生率的影响[J].中国药物与临床,2020,20(22):3864-3866.[12]陈义,邱凯凯,敬茜.临床护理路径对CT增强扫描造影剂渗漏及满意度的影响[J].实用临床医药杂志,2017,21(14):136-138.[13]倪映美,林院生,王春梅.肿瘤患者CT定位扫描中碘造影剂不良反应与影响因素[J].海峡预防医学杂志,2015,21(5):91-92.[14]Sakamoto M,Hiasa Y,Otake Y,et al.Bayesian Segmentation of Hip and Thigh Muscles in Metal Artifact-Contaminated CT Using Convolutional Neural Network-Enhanced Normalized Metal Artifact Reduction[J].Journal of Signal Processing Systems,2020,32(4):406-411.[15]Hsieh CC,Zeng AB,Chen CH,et al.A practical biphasic contrast media injection protocol strongly enhances the aorta and pulmonary artery simultaneously using a single CT angiography scan[J].BMC Med Imaging,2021,21(1):160.[16]Thaiss WM,Bedke J,Kruck S,et al.Can contrast-enhanced ultrasound and acoustic radiation force impulse imaging characterize CT-indeterminate renal masses? A prospective evaluation with histological confirmation[J].World Journal of Urology,2019,21(6):695-698.[17]钟芳.CT增强扫描碘造影剂副反应预防和护理干预研究[J].中国卫生标准管理,2017,8(3):152-153.[18]任鲜华.肝癌介入手术患者CT增强扫描的不良反应和护理措施[J].解放军护理杂志,2017,34(13):48-50.[19]张玲芳.CT增强扫描造影剂外渗的护理体会[J].中国药业,2013,22(11):137-138.[20]张玮,范玉霞,幸世玉,等.个性化护理在减少CT增强扫描造影剂外渗中的应用研究[J].微创医学,2020,15(6):830-831,838.

相似文献/References:

[1]王 维.针对性护理在预防重症患者呼吸机相关性肺炎中的效果分析[J].医学信息,2018,31(04):172.[doi:10.3969/j.issn.1006-1959.2018.04.065]
 WANG Wei.Analysis of the Effect of Targeted Nursing in the Prevention of Ventilator-associated Pneumonia in Severe Patients[J].Journal of Medical Information,2018,31(22):172.[doi:10.3969/j.issn.1006-1959.2018.04.065]
[2]张 丹.针对性护理干预对超声引导麦默通乳腺微创旋切术的临床疗效观察[J].医学信息,2020,33(03):183.[doi:10.3969/j.issn.1006-1959.2020.03.062]
 ZHANG Dan.Effect of Targeted Nursing Intervention on Ultrasound-guided Maimotong Minimally Invasive Mammography[J].Journal of Medical Information,2020,33(22):183.[doi:10.3969/j.issn.1006-1959.2020.03.062]
[3]史媛慧.牙颌面畸形正颌手术患者围术期针对性护理的效果[J].医学信息,2020,33(05):186.[doi:10.3969/j.issn.1006-1959.2020.05.064]
 SHI Yuan-hui.The Effect of Perioperative Targeted Nursing for Patients with Orthognathic Deformity During Orthognathic Surgery[J].Journal of Medical Information,2020,33(22):186.[doi:10.3969/j.issn.1006-1959.2020.05.064]
[4]张 芳,张丽平,包利红,等.基于CiteSpace的多发性骨髓瘤护理的可视化分析[J].医学信息,2023,36(04):73.[doi:10.3969/j.issn.1006-1959.2023.04.014]
 ZHANG Fang,ZHANG Li-ping,BAO Li-hong,et al.Visualization Analysis of Multiple Myeloma Nursing Research Based on CiteSpace[J].Journal of Medical Information,2023,36(22):73.[doi:10.3969/j.issn.1006-1959.2023.04.014]
[5]胡 微,郑文丽.针对性护理对改善肺癌患者化疗后胃肠道不良反应的效果[J].医学信息,2023,36(04):156.[doi:10.3969/j.issn.1006-1959.2023.04.033]
 HU Wei,ZHENG Wen-li.Effect of Targeted Nursing on Improving Gastrointestinal Adverse Reactions After Chemotherapy in Patients With Lung Cancer[J].Journal of Medical Information,2023,36(22):156.[doi:10.3969/j.issn.1006-1959.2023.04.033]
[6]何艳珍.针对性护理在热奄包联合穴位贴敷治疗妇科腹腔镜术后腹痛腹胀中的应用效果[J].医学信息,2023,36(17):161.[doi:10.3969/j.issn.1006-1959.2023.17.034]
 HE Yan-zhen.Application Effect of Targeted Nursing in Patient with Abdominal Pain and Abdominal Distension After Gynecological Laparoscopic Surgery Treated with Hot Package and Acupoint Patching[J].Journal of Medical Information,2023,36(22):161.[doi:10.3969/j.issn.1006-1959.2023.17.034]

更新日期/Last Update: 1900-01-01