“弹丸”注射护理干预在肾动态显像检查中的应用

Application of Contrast Material Bolus Injection in Renal Dynamic Imaging

目的本文旨在通过临床对照实验分析,探讨"弹丸"注射方式在肾动态显像检查中的可行性。方法以"弹丸"注射方式向静脉注入显像剂,并经SPECT/CT形成肾动态显像,借此观察肾脏血流、肾动脉灌注、肾功能、肾实质及尿路通畅的动态过程,该方式目前被认为是评价肾功能的金标准[1]。选取2015年1月至2016年1月期间52例肾动态显像"弹丸"注射病人进行对照实验。结果观察组穿刺成功率为100%,与对照组的76.92%差异具有统计学意义。结论 "弹丸"注射方式可提高显像成功率,为病人提供更为准确的数据,为临床提供可靠的依据,值得临床推广。

Objective To evaluate the feasibility of bolusinjection method in renal dynamic imaging through the analysis of clinical controlled experiment. Methods The contrast material was infused via vein in a bolus injection manner, and the renal dynamic imaging was performed by SPECT/CT, we observed the renal blood perfusion, renal artery perfusion, renal function, renal parenchyma and the dynamic process of the unobstructed urinary tract. The method is considered the gold standard for evaluation of renal function. We select 52 cases of renal dynamic imaging with the bolus injection method during January 2015 to January 2016. Results The puncture success rate of the observation group was 100%, which was significantly higher than 76.92% of the control group. Conclusion Contrast material bolus injectioncan improve the success rate of imaging. It also provides more accurate data for patients andmore reliable results for clinicians and is worthy of clinical promotion.