护理干预在能谱CT冠脉CTA中的应用研究

The application study on nursing intervention in spectrum CT coronary angiography

目的:探讨护理干预在能谱CT冠脉CT血管成像(CTA)中的应用,评价护理指导在影像诊断中的价值。方法:1 020例受检者进行能谱CT冠脉CTA检查,对受检者进行检查前、检查中、检查后护理干预。结果:998例患者顺利完成了检查,990图像满足影像诊断要求。其中654例患者心律不齐,图像出现断层现象,646例不影响图像诊断,8例不满足图像诊断要求;7例患者心率>75次/min,服用美托洛尔无效;9例患者因精神紧张,不能坚持检查;6例患者碘对比剂血管外渗。结论:护理干预措施及护理指导对能谱CT冠脉扫描具有重要意义,确保了冠脉CTA检查临床诊断效果的发挥。

Objective：To explore the application of nursing intervention in spectrum CT coronary angiography（CTA）,to evalue the valueof nursing instruction for imaging diagnosis. Methods：All 1 020 cases of subjects with energy spectrum CT cor-onary CTA inspection,inspection on client before,check in and check after the nursing intervention. Results：In all,990 pa-tients meet the imaging diagnosis（654 cases with arrhythmia,images appear fault phenomenon,646 cases do not affect the im-age diagnosis and 8 cases did not meet the requirements of image diagnosis）. 7cases of patients with heart rate 〉 75 beats/ min, taking metoprolol had no effect. Due to the emotional tension,9 patients cannot stick to check;6 cases with iodine contrast a-gent vascular extravasation. Patients are successful completion of the inspection,the image is clear. Conclusion：Nursing inter-ventions and nursing instruction of energy spectrum CT coronary scanning is of great importance,to ensure the play of coronary CTA clinical diagnosis effect.