护理干预在冠状动脉CTA检查中的应用价值  

The Application Value of Nursing Intervention in the Coronary Atery CTA Check

作　　者：赵云[1] 付传明[1] 陈伦刚[1] 徐霖[1] 龚晓虹[1] 蔡克涛[1] 王开华[1] 

机构地区：[1]湖北医药学院附属太和医院放射影像中心,湖北十堰442000

出　　处：《CT理论与应用研究（中英文）》2012年第3期485-491,共7页Computerized Tomography Theory and Applications

摘　　要：目的:探讨护理干预在冠状动脉CTA(CCTA)检查中的临床应用价值。资料与方法:将准备做CCTA检查的80例患者,随机分为对照组和护理干预组(n=40例)。对照组:口服倍他乐克,降低心率,不做其他干预。护理干预组:采取一系列护理干预措施,有效降低患者心率(HR<70bpm)及控制心率稳定。结果:对照组,检查成功25例,15例失败,成功率为62.50%(25/40),成功25例患者中图像质量优13例,良好5例,基本满足诊断7例,优良率为72%(18/25);护理干预组,检查成功38例,失败2例,成功率为95%(38/40),成功38例患者中图像质量优30例,良好5例,基本满足诊断3例,优良率为92.11%(35/38)。2组检查成功率具有明显统计学差异(P<0.01),图像质量优良率亦有统计学意义(P<0.05)。结论:做CCTA检查前实施护理干预能明显提高检查成功率及保证图像质量优良率。Objective： To study the application value of nursing intervention in the coronary artery MSCTA check. Materials and Methods： 80 patients who were ready to received comary artery MSCTA examinations, were randomly divided into control group （n = 40） and the nursing intervention groups （n = 40）. Care in the control group only to oral metoprololg decreas heart rate, no other intervention measures, Care in the nursing intervention group, to take a series of nursing intervention measures, effectively reduce the heart rate （HR 〈 70 bpm） and control of heart rate stability. Results： The control group： success in 25 cases, failure in 15 cases, the success rate is 62.50% （25/40）, of which image quality was excellent in 13 cases, good in 5 cases, basically meet the needs of diagnosis in 7 cases, the excellent and good rate was 72% （18/25）; the nursing intervention group： success in 38 cases, failure in 2 cases, the success rate is 95% （38/40）, of which the image quality was excellent in 30 cases, good in 5 cases, basically meet the needs of diagnosis in 3 cases, the excellent and good rate was 92.11% （35/38）. The success rate in two groups was significant difference （P〈 0.01）, the image of good quality rate also had statistical significance （P〈 0.05）. Conclusion： It can significantly improve the success rate; ensure the image quality and diagnostic excellent rate to take the nursing intervention before coronary CTA check.

关 键 词：护理干预 MSCT 冠状动脉成像 

分 类 号：R473.5[医药卫生—护理学]