Nursing countermeasures for contrast extravasation in enhanced scans for imaging examinations
影像学检查增强扫描中造影剂外渗的护理对策

摘要

目的 探究影像学检查增强扫描当中造影剂外渗的护理策略。方法 2021年5月至2022年5月CT增强扫查患者中择取120例作为研究对象，随机分为改进组（预见性护理）和常规组（普通护理），两组患者均为门诊收治需要进一步诊断的患者，医生开具影像学增强检查医技项目，患者由同一位医生制定、实施造影剂注射，观察比较不同护理模式取得护理效果。结果 改进组造影剂外渗发生率较常规组下降，组间差异显著，（P＜0.05）；改进组患者负面心理状态评分低于常规组，差异显著，（P＜0.05）；改进组患者给出的护理满意度评分高于常规组，差异显著（P＜0.05）。结论 针对造影剂外渗风险，影像学增强扫描当中采取预见性护理后，可有效降低造影剂外渗风险，同时患者的心理状态较好，值得推广。

Abstract

Objective To investigate the nursing strategy of contrast extravasation in enhanced scans for imaging examinations.
Methods From May 2021 to May 2022, 120 cases of patients with CT-enhanced scans were selected as study subjects and randomly divided into the improved group (anticipatory care) and the conventional group (ordinary care), both groups of patients were patients admitted to outpatient clinics who needed further diagnosis, doctors prescribed medical and technical items for imaging-enhanced examinations, patients were formulated and implemented contrast injection by the same doctor, and different modes of care were observed and compared Care outcomes were achieved.
Results The incidence of contrast extravasation decreased in the improvement group compared with the conventional group, with a significant difference between the groups, (P < 0.05); the negative psychological status scores of patients in the improvement group were lower than those in the conventional group, with a significant difference, (P < 0.05); patients in the improvement group gave higher nursing satisfaction scores than those in the conventional group, with a significant difference, (P < 0.05).
Conclusion   For the risk of contrast extravasation, the risk of contrast extravasation can be effectively reduced after adopting anticipatory care among imaging-enhanced scans, while the patients' psychological state is better, which is worth promoting.