吴德坤 陈攀

[摘要] 目的 探讨护理干预对64层螺旋CT冠状动脉成像的影响。 方法 选取2012年1月—2014年12月于该院实施64层螺旋CT冠状动脉造影的患者324例为研究对象，随机分为对照组和观察组各162例，对照组行常规护理模式，观察组在对照组的基础上行精细护理干预。比较两组患者心率控制及心率波动情况，检查成功率及不良反应发生率。 结果 观察组患者心率控制及心率波动均较对照组明显降低，检查成功率较对照高，不良反应发生率较对照组低，差异具有统计学意义（P<0.05）。 结论 合理有效的护理干预可有效控制心率及心率波动，提高检查成功率，降低不良反应发生率，值得临床推广借鉴应用。

[关键词] 护理干预；64层螺旋CT；冠状动脉

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0132-03

The Effect of Nursing Intervention on 64-slice Spiral CT Coronary Angiography

WU De-kun1， CHEN Pan2

1. CT Room， Jining No. 1 Peoples Hospital， Jining， Shandong Province， 272100 China；

2. Emergency Department， Jining No. 1 Peoples Hospital， Jining， Shandong Province， 272100 China

[Abstract] Objective To investigate the effect of nursing intervention on 64-slice spiral CT coronary angiography. Methods 324 cases underwent 64-slice spiral CT coronary angiography in our hospital from January 2012 to December 2014 were selected as the subjects and randomly divided into the control group and observation group with 162 cases in each. Both groups were given the conventional nursing， in addition， the observation group were given the meticulous nursing intervention. The mean heart rate and the range of heart rate were compared between the two groups. The success rate of examination and incidence of adverse reactions were compared between the two groups. Results Compared with the control group， the observation group had much lower mean heart rate and range of heart rate， obviously higher success rate of examination and significantly lower incidence of adverse reactions （P<0.05）. Conclusion Reasonable and effective nursing intervention can effectively lower the mean heart rate and amplitude of the heart rate， improve the success rate of examination， decrease the incidence of adverse reactions， therefore， it is worthy of application， promotion and reference in clinical practice.

[Key words] Nursing intervention； 64-slice spiral CT； Coronary artery

近年来，冠心病的发病率及死亡率逐年升高，严重威胁着人类健康。因此提高对冠心病的诊断水平具有重要的意义[1]。诊断冠心病的检查常包括：冠脉造影、心电图、血管内超声、心脏超声。其中心电图和心脏超声只能提供部分帮助，冠脉造影和血管内超声已成为诊断冠心病的金标准，但由于其价格昂贵，有创伤性和潜在的严重的并发症，不易为患者接受[2]。随着医疗技术的发展，MSCT冠状动脉成像有了突破性的进展，其在时间和空间的分辨率均有提高，可得到清晰的冠状动脉CT图像，检查准确率显著提高[3]。64层螺旋CT冠状动脉成像伪影产生主要因素包括呼吸运动、心率及心律变化、造影剂浓度及重建时相等，因此控制呼吸运动及提高诊断准确率对提高64层螺旋CT冠脉动脉成像质量尤为重要[4]。该研究整群选取2012年1月—2014年12月于该院实施64层螺旋CT冠状动脉造影的324患者为研究对象，针对64层螺旋CT产生伪影的因素进行护理干预，取得良好的临床疗效，现报道如下。……