Nursing in coronary arteriography by 16-slice spiral CT

SHEN Xia; et al

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Nursing in coronary arteriography by 16-slice spiral CT

更新时间：2024-01-17

- Nursing in coronary arteriography by 16-slice spiral CT
- Journal of Chongqing Medical University Vol. 34, Issue 12, Pages: 1752-1754(2009)
- 作者机构：
  
  重庆医科大学附属第二医院放射科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R473
- Published：2009，
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[1]沈霞,罗银灯.16层螺旋CT冠状动脉造影检查的护理配合与体会[J].重庆医科大学学报,2009,34(12):1752-1754.

SHEN Xia, et al. Nursing in coronary arteriography by 16-slice spiral CT. [J]. Journal of Chongqing Medical University 34(12):1752-1754(2009)
[1]沈霞,罗银灯.16层螺旋CT冠状动脉造影检查的护理配合与体会[J].重庆医科大学学报,2009,34(12):1752-1754. DOI：

SHEN Xia, et al. Nursing in coronary arteriography by 16-slice spiral CT. [J]. Journal of Chongqing Medical University 34(12):1752-1754(2009) DOI：

摘要

目的:探讨16层螺旋CT（16-Slice spiral CT）冠状动脉造影检查的护理配合及其对检查成功率的影响。方法:对68例可疑或确诊为冠心病患者行16层螺旋CT冠状动脉血管造影检查

并对其相关资料进行回顾性分析。检查前对患者实施有效的心理干预

消除紧张心理

避免产生焦虑情绪

使心率减慢、平稳;耐心向患者说明屏气的重要性

反复训练患者呼吸、屏气直至掌握方法。结果:1例因屏气呼吸失败不能满足影像学诊断要求而改期重做;1例因心率过快

口服和静脉注射倍他乐克均不能使心率控制在65次/min以下而停做;其余病例因紧张、担忧、恐惧等因素导致不同程度心率增快或呼吸节律异常

但经口服倍他乐克25～50mg和心理护理后血压、呼吸恢复正常、心率均降至≤65次/min并顺利完成检查。所有病例对比剂灌注均1次成功

无外渗

无碘过敏反应发生。结论:16层螺旋CT冠状动脉血管造影具有独特的优越性

而科学、细致、有效的护理工作

是顺利完成多层螺旋CT冠状动脉造影检查的重要保障。

Abstract

Objective:To discuss the clinical value of nursing and its influence on success rate of coronary arteriography by 16-slice spiral CT.Methods:68 patients with confirmed or suspected coronary heart diseases underwent 16-slice spiral CT coronary arteriography.The nursing records of them were analyzed retrospectively.The effective psychological intervention was performed before the examinations to avoid anxiety

tension and horror of the patients

and achieve the stable and reduced heart rate.Breath holding and respiration were claimed and trained repeatedly till patients mastered.Results:1 patient failed due to the degraded images for unsatisfied breath holding and needed reexamination;1 failed case was caused by fast heart rate(>65/min) even though beta-blocker(Betaloc)were administered orally or intravenously.The heart rate of the other patients satisfied the scanning requirements(heart rate ≤65/min) after the psychological nursing and/or medicating(25～50 mg Betaloc orally)

and scanning was performed successfully.Contrast media were administered successfully at one time without extravasation and allergy.Conclusion:Good nursing is a primary for successful 16-slice spiral CT coronary arteriography.

关键词

16层螺旋CT冠状动脉造影护理

Keywords

16-slice spiral CTCoronary arteriographynursing

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