摘要
目的探讨CT增强扫描造影剂外渗的影响因素。方法回顾性分析2019年1月至2021年12月在固始县人民医院使用CT增强扫描检查的5000例患者的临床资料,统计患者检查过程中造影剂外渗发生情况,并进行单因素分析与Logistic回归分析。结果5000例患者中,0.60%(30/5000)的患者出现造影剂外渗,99.40%(4970/5000)的患者未出现造影剂外渗情况;单因素分析结果显示,外渗组年龄、合并糖尿病、长期化疗、穿刺次数、造影剂流速、穿刺针固定不良、穿刺部位与非外渗组比较,差异有统计学意义(P<0.05);Logistic多因素分析结果显示,年龄(OR=1.256)、合并糖尿病(OR=1.548)、长期化疗(OR=1.976)、穿刺次数(OR=3.201)、造影剂流速(OR=2.034)、穿刺针固定不良(OR=3.847)、穿刺部位(OR=2.458)是影响CT增强扫描造影剂外渗的独立危险因素,差异有统计学意义(P<0.05)。结论CT增强扫描造影剂外渗受年龄、合并糖尿病、长期化疗、穿刺次数、造影剂流速、穿刺针固定不良、穿刺部位的影响,因此CT增强扫描时应做好相应针对性干预,以降低外渗风险。
Objective To investigate the influence factors of contrast media extravasation in enhanced CT scanning.Methods The clinical data of 5000 patients who underwent enhanced CT scans in Gushi County People's Hospital from January 2019 to December 2021 were retrospectively analyzed.The incidence of contrast media extravasation during the examination was statistically analyzed,and univariate analysis and Logistic regression analysis were performed.Results Among the 5000 patients,0.60%(30/5000)had contrast extravasation and 99.40%(4970/5000)had no contrast extravasation.Univariate analysis showed that there were statistically significant differences in age,diabetes mellitus,long-term chemotherapy,puncture times,contrast agent flow rate,poor puncture needle fixation,and puncture site between the exosmosis group and the non-exosmosis group(P<0.05).Logistic multivariate analysis results showed that age(OR=1.256),diabetes mellitus(OR=1.548),long-term chemotherapy(OR=1.976),number of punctures(OR=3.201),the flow rate of contrast agent(OR=2.034),poor puncture needle fixation(OR=3.847),puncture site(OR=2.458)were the Independent risk factors affecting contrast agent in CT enhancement scan,the difference was statistically significant(P<0.05).Conclusion Contrast extravasation of enhanced CT scan is affected by age,diabetes mellitus,long-term chemotherapy,puncture times,contrast agent flow rate,poor puncture needle fixation,and puncture site.Therefore,targeted intervention should be made during enhanced CT scans to reduce the risk of extravasation.
作者
刘玉红
陶孟利
LIU Yuhong;TAO Mengli(CT Room,Gushi County People's Hospital,Xinyang Henan 465200,China)
出处
《临床研究》
2023年第1期123-126,共4页
Clinical Research
关键词
CT增强扫描
造影剂
外渗
影响因素
护理对策
CT-enhanced scanning
contrast agent
extravasation
influencing factors
nursing strategies
