护理因素对儿童PET/CT脑葡萄糖代谢显像质量的影响

Effect of nursing factors on the PET /CT cerebral glucose metabolism imaging in the epilepsy children

目的:探讨护理因素对患儿PET/CT脑葡萄糖代谢显像质量的影响。方法:24例患儿纳入研究,患儿空腹4 h以上,封闭视听30 min后注射氟代脱氧葡萄糖(18 F-FDG),注射药物后继续封闭视听40 min,然后进行PET/CT检查。对依从性差、显像时不能保持头部静止不动的患儿给予镇静。结果:大于7岁患儿共9例均未镇静,其中2例患儿显像失败,经家属及护理人员安抚及鼓励,再次显像图像达到诊断要求,余7例大于7岁患儿图像均达到诊断要求。小于7岁患儿15例均口服10%水合氯醛镇静后显像,图像均达到诊断要求。结论:护理工作是保障患儿顺利完成PET/CT脑葡萄糖代谢显像,获得高质量图像的重要因素之一。

Objective： To explore the effect of nursing factors on PET /CT cerebral metabolic imaging quality in children. Methods： The study included 24 patients. Children were on an empty stomach for more than 4 hours. Closed audio- visual for 30 min befor injecting 18 FDG,and for 40 min after 18 FDG injected. Then PET /CT imaging were developed. The children who could not cooperate the imaging would be sedated. Results： A total of 9 children who were more than 7 years old were not sedated,the 2 cases images couldn＇t conformed to the requirements of the diagnosis. By the consolation and encouragement of families and nursing staff,imaging again was successful. The images of other 7 children who were more than 7 years old and all 15 children who were less than 7 years old and sedated by 10% chloral hydrate conformed to the requirements of the diagnosis. Conclusion： The nursing work is an important link to guarantee smooth completion of PET /CT cerebral glucose metabolism imaging in children and get high quality image.