摘要
目的：分析荧光素眼底血管造影和吲哚青绿眼底血管造影的不良反应发生情况以及护理干预对降低其不良反应的作用。方法收集2012年1月—2015年6月行荧光素眼底血管造影（ FFA）或吲哚青绿眼底血管造影（ ICGA）检查532例患者临床资料，其中322例为护理干预组，210例为对照组，分析总结其不良反应发生情况。结果532例患者出现各种不良反应49例，发生率为9．2％，主要为恶心不适或皮肤瘙痒等症状。男性患者不良反应发生率为11．8％，女性为6．2％，两性间差异有统计学意义（χ2＝4．94，P＜0．05）；不同年龄间不良反应发生率差异无统计学意义（χ2＝2．88，P＞0．05）。单独行FFA检查患者329例，不良反应发生率为9．7％，FFA联合ICGA检查患者142例，不良反应发生率为9．9％，单独行ICGA检查患者61例不良反应发生率为4．9％，三组之间差异无统计学意义（χ2＝1．52， P＞0．05）。在造影前进行护理干预的322例患者中不良反应发生率为7．1％，未行护理干预的210例患者为12．4％，两组之间差异有统计学意义（χ2＝4．17，P＜0．05）。结论造影检查前做好充分解释，检查中密切观察患者的各种表现，积极进行护理干预可有效降低造影过程中各种不良反应发生率，提高眼底血管造影检查的安全性。
Objective To investigate the adverse reactions during the fundus fluorescein angiography （ FFA） or indocyanine green angiography （ ICGA） and the effects of nursing intervention on the minimizing the prevalence of adverse reactions .Methods From January 2012 to June 2015 , a total of 532 patients underwent the FFA or ICGA in our hospital , in which 322 cases were randomly located in nursing intervention group and 210 cases in control group .The prevalence of adverse reactions of all patients and the effects of nursing intervention were analyzed .Results Among the 532 cases of patients , there were 49 cases with adverse reactions mainly slight nausea or skin rush with 9.2%.The prevalence of adverse reactions was 11.8% in the males and 6.2%in the females （χ2 =4.94, P〈0.05）.There were no significant difference among the age groups （χ2 =2.88, P〉0.05）.The prevalence of adverse reactions was 9.7% in the FFA group, 9.9% in FFA combined with ICGA group and 4.9%in ICGA group respectively （χ2 =1.52, P〉0.05）.The prevalence of adverse reactions was 7.1%in the nursing intervention group and 12.4%in the control group,the difference was significant （χ2 =4.17, P〈0.05 ）.Conclusions The intensive nursing intervention with careful interpretation before the examinations and closely observations during the FFA or ICGA examinations can minimize the occurrence of adverse reactions and improve the safety .
出处
《中华现代护理杂志》
2016年第12期1736-1738,共3页
Chinese Journal of Modern Nursing
