摘要
目的对CT增强扫描中不同浓度碘对比剂所致不良反应观察及护理,从而为临床不同浓度碘对比所致的不良反应的预后提供依据。方法对本院需要进行CT增强扫描检查的1 328例患者进行分析,按照增强扫描所用的碘的浓度不同分为2组,A组660例采用碘海醇350mg I/m L进行常规扫描,B组668例采用碘克沙醇270 mg I/m L,观察2组患者在增强扫描中所出现的不良反应,以及针对所出现的不良反应进行针对性的护理措施。结果 A组有7例发生不同程度的不良反应,发生率为1.06%;B组有5例发生不同程度的不良反应,发生率为0.75%,2组不良反应发生率相比,差异有统计学意义(P<0.05)。对本组研究中所出现的不同程度的过敏反应及对比剂的外渗现象按照本科室的抢救流程均获得成功救治,无死亡病例,且对比剂外渗现象都得到妥善处理。结论采用碘克沙醇270 mg I/m L作为对比剂在CT增强扫描中不良反应发生率较常规的碘海醇350 mg I/m L要低,且在发生不良反应时需要医务人员熟练掌握抢救技术,在不良反应发生时在最短的时间内进行处理,是提高成功救治率的关键,也是保证患者顺利完成检查的必要手段。
Objective To observe nursing of adverse reactions induced by different concentrations of iodine contrast agent in CT enhanced scanning,and to provide evidence for the prognosis of adverse reactions induced by iodine contrast in different concentration. Methods A total of 1 328 patients were divided into two groups according to different iodine concentration of iodine contrast agent. Group A with 660 cases was given conventional scanning by 350 mg I / m L iohexol,and 668 cases in group B applied 270 mg I / m L iodixanol. And adverse reactions and the nursing measures were observed in two groups o. Results There were 7 cases（ 1. 06%） in group A and 5 cases in group B with adverse reactions,and there were statistically significant difference（ P 〈 0. 05）. The patients with allergic reactions and contrast agent extravasation were successful treated,no death case was found and contrast agent extravasation had been properly handled. Conclusion The incidence of adverse reactions of 270 mg I / m L iodixanol as contrast in CT enhancement scanning compared with350 mg I / m L iohexol was lower. Skilled medical personnel and quickly handle can improve the successful rescue rate and ensure successful completion of examination.
出处
《实用临床医药杂志》
CAS
2016年第20期136-138,共3页
Journal of Clinical Medicine in Practice
关键词
CT增强扫描
对比剂
不同浓度
不良反应
护理
CT enhanced scanning
contrast agent
different concentration
adverse reaction
nursing
