刘金梅

[摘要] 目的 探究CT增强扫描碘造影剂不良反应的预防及护理干预效果。 方法 抽取本院自2016年2月～2017年2月收治的使用CT增强扫描中采用碘造影剂的患者80例，随机分为观察组（n=40）和对照组（n=40）。对照组患者进行常规护理，观察组患者在对照组患者的基础上进行护理干预。对比两组患者的護理满意度以及不良反应发生率。 结果 观察组患者的护理满意度（95%）远高于对照组患者的（75%），不良反应发生率（5%）远低于对照组患者的（25%），差异具有统计学意义（P<0.05）。 结论 采取护理干预，可以有效的降低CT增强扫描碘造影剂的不良反应发生率，值得进一步推广和使用。

[关键词] CT增强扫描；碘造影剂；不良反应；护理干预

[中图分类号] R473 [文献标识码] A [文章编号] 2095-0616（2017）16-185-03

Prevention and nursing intervention of adverse effects of iodine contrast agents by CT enhanced scan

LIU Jinmei

Department of Radiology，Longhua New District Central Hospital，Shenzhen 518110，China

[Abstract] Objective To explore the prevention and nursing intervention of adverse effects of iodine contrast agents by CT enhanced scan. Methods 80 patients were randomly sampled who received iodinated contrast agents using CT enhanced scan from February 2016 to February 2017.They were divided into observation group（n=40） and control group（n=40）.Patients in control group were treated with routine nursing，and patients in observation group were treated with nursing intervention on the basis of routine nursing.Nursing satisfaction and incidence of adverse reactions of the two groups were compared. Results The satisfaction of patients in observation group（95%） was much higher than that of control group（75%），the incidence of adverse reaction（5%） was far lower than that of the control group（25%），the differences were statistically significant（P<0.05）. Conclusion Nursing intervention can effectively reduce the incidence of adverse reactions of CT enhanced scanning iodine contrast agents，and it is worthy of further promotion and use.

[Key words] CT enhanced scan；Lodinated contrast medium；Adverse reaction；Nursing intervention

CT增强扫描采用碘造影剂可以将病变范围以及病变性质清晰的显示出来，并可对病变部位的血供情况进行有效的观察，提高诊断率。但有部分患者对于碘造影剂会产生不适，容易出现不良反应，患者在检查过程中极易出现惶恐、焦虑等负性情绪[1]。据调查显示：进行CT增强扫描的患者，采用碘造影剂时，应用护理干预，可以显著的降低不良反应发生率[2]。为此随机抽取我院自2016年2月～2017年2月收治的使用CT增强扫描中采用碘造影剂的患者80例进行深入、有效的研究，现报道如下。

1 资料与方法

1.1 一般资料

抽取本院自2016年2月～2017年2月收治的使用CT增强扫描中采用碘造影剂的患者80例，随机分为观察组（n=40）和对照组（n=40）。观察组男23例，女17例，年龄7～76岁，平均（41.5±33.2）岁，CT增强部位：腹部有18例、胸部有10例、颈部有7例、头部有5例。对照组男21例，女19例，年龄7～78岁，平均（42.5±34.7）岁，CT增强部位：腹部有19例、胸部有12例、颈部有6例、头部有3例。……