腺苷负荷心肌灌注断层显像检查患者的护理

Nursing care of patients in checking of adenosine infusion ^99mTC-MIBI myocardial perfusion imaging

目的探讨腺苷负荷心肌灌注断层显像检查的临床观察和护理技术。方法对50例腺苷负荷心肌灌注断层显像患者检查前严格掌握适应证与禁忌证，加强心理健康教育；腺苷注射过程中严密监测心电图、血压和不良反应，重视患者的主诉，做好严重并发症的急救与预防。结果50例患者中9例无不良反应发生；39例出现较轻微的不良反应，停药后数分钟，未给予特殊处理，均自行缓解；2例患者注射腺苷后3—6min内发生明显的不良反应，表现为较严重的胸闷及心前区疼痛症状，遵医嘱立即给予吸氧、舌下含化硝酸甘油片后症状很快得到缓解；本组患者无严重的心律失常、急性心肌梗死或支气管哮喘等严重不良反应发生。50例患者均顺利完成检查，无意外情况发生。结论重视和加强腺苷负荷心肌灌注断层显像检查的观察与护理，有利于保证患者顺利完成检查，并确保其安全。

Objective To explore the clinical observation experience and nursing care for patients in checking of adenosine infusion ^99mTc-MIBI myocardial perfusion imaging. Methods Fifty cases performed check of adenosine infusion ^99mTc-MIBI myocardial perfusion imaging following strict indications and contraindication and strengthened mental health education. Patients＇ electrocardiogram, blood pressure and adverse reaction were closely monitored after adenosine was injected. Meanwhile, patients＇ complaints were highly concerned and first aid or prevention for complication were prepared. Results Among 50 cases, 9 cases had no adverse reaction, 39 cases had mild adverse reactions, 2 cases had obvious adverse reaction, and no patients had serious adverse reaction such as arrhythmia, acute myocardial infarction, bronchial asthma and so on. Fifty cases went through the check without unexpected event. Conclusions It is important to strengthen patients＇ observation and nursing care in the checking of adenosine infusion ^99mTc-MIBI myocardial perfusion imaging, so that we can help patients complete the check successfully and ensure their security.