减速注射76%泛影葡胺对静脉肾盂造影的影响  

Study on the influence of reducing the injection speed of 76% compound diatrizoate in intravenous pyelography

作　　者：包世敏[1] 邝碧娟[1] 王湘郴[1] 赵菲[1] 陈丽玲[1] 

机构地区：[1]广东医学院附属福田人民医院影像科,518033

出　　处：《护理实践与研究》2010年第20期23-25,共3页Nursing Practice and Research

摘　　要：目的:探讨静脉肾盂造影时76%泛影葡胺注射速度与不良反应的关系,以期降低不良反应发生而保证检查顺利完成,提高检查成功率。方法:按预约检查顺序将428例静脉肾盂造影患者随机交替分为观察组和对照组各214例。两组均采用注射泵控制76%泛影葡胺注射速度,观察组为6ml/min,对照组为10ml/min。比较两组不良反应发生率、检查完成率及检查成功率情况。结果:对照组患者不良反应发生率明显比观察组高,两组比较P=0.000,差异有高度显著统计学意义;检查完成率及成功率观察组比对照组高,P=0.000,差异有高度显著统计学意义。结论:静脉肾盂造影时的不良反应主要为高渗反应,控制静脉注射76%泛影葡胺的速度,可以有效降低不良反应的发生,从而保证检查顺利完成且不影响图像质量。Objective：To observe the relationship between the injection speed of 76% compound diatrizoate and the adverse reaction in IVP,to reduce the incidence of adverse reactions.Guarantee completing the inspection and enhances the inspection success rate.Methods：428 patients of IVP were alternatively randomly divided into observation group and control group,214 patients in each group.Syringe pump control the injection speed of 76% compound diatrizoate. Patients of observation group was 6 ml/min,patients of control group was 10 ml/min.The differences in the incidence of adverse reactions 、inspection finish rate and the inspection success rate were compared. Results：There were significant difference in adverse reactions between the observation groupand the control group（P=0.000）,there were significant difference in inspection finish rate and the inspection success rate between the observation groupand the control group（P=0.000）.Conclusion： Adverse reactions in IVP are mainly hypertonic response,reducing the injection speed of 76% compound diatrizoate can reduce the incidence of adverse reactions. Guarantee completing the inspection but does not affect the picture quality.

关 键 词：静脉肾盂造影 泛影葡胺 速度 不良反应 

分 类 号：R472[医药卫生—护理学]