4212例子宫输卵管造影不良反应分析

Analysis of 4 212 Cases of Adverse Reactions in the Process of Hysterosalpinggraphy

目的分析子宫输卵管造影检查中不良反应及防治措施。方法对2006年4月至2011年7月我院碘过敏试验阴性行HSG检查的4212例患者进行观察、分析。结果 552例出现不同程度的药物性或非药物性不良反应。其中药物性不良反应211例,主要为下腹部胀痛、恶心、呕吐、咽喉部不适、呛咳、气短及面部潮红、打喷嚏、皮肤瘙痒、皮疹的症状;非药物性不良反应341例,主要表现为下腹部胀痛、面色苍白、出虚汗、血压下降、心跳加快、头晕、眼花、恶心、呕吐等症状。结论即使碘过敏试验阴性,在造影过程中仍有少部分患者出现不同程度的药物性或非药物性不良反应,应针对不同情况的不良反应,采取相应的防治措施,以保证子宫输卵管造影检查的顺利进行。

Objective To analysize the adverse reactions and prevention measures of hysterosalpinggraphy （HSG）. Methods 4 212 patients with negative iodine anaphylactic tests were observed and analysized after hysterosalpingography at the PLA 202 Hospital between April in 2006 and July in 2011. Results 552 cases had adverse drug-induced or non-drug-induced during hysterosalpinggraphy. Among them there were 211 cases of drug-induced adverse reaction and 341 cases of non-drug-induced adverse reactions. The drug-induced adverse reactions were mainly hypogastralgia, nausea,vomiting, malaise of laryngopharyngeal, irritating cough, shortness of breath, flush of the face, sneezing, pruritus, rash and other symptoms. The non-drug adverse reactions were mainly hypogastralgia, pallor, sweating, blood pressure decrease, speeding up of heart-beat, dizziness, blur version, nausea, vomiting and other symptoms. Conclusion Even if patients are negative for iodine anaphylactic tests, some patients still have varying degrees of drug-induced or non-drug-induced adverse reactions during hysterosalpinggraphy. Aiming at different conditions of reaction, we adopt correspond preventive measures which is able to ensure smooth progress of hysterosalpinggraphy.