对比剂在多层螺旋CT显示胃部病变中的应用护理  

A clinical study of contrast agent in displaying gastric lesions with multislice spiral CT and its nursing experience

作　　者：宋文[1] 高晓宁[2] 姜传武[2] 刘学军[1] 李文华[2] 刘欢[2] 

机构地区：[1]青岛大学医学院附属医院影像科,山东青岛266000 [2]青岛大学医学院附属海慈医院影像科,山东青岛266033

出　　处：《医学影像学杂志》2013年第8期1228-1230,共3页Journal of Medical Imaging

摘　　要：目的探讨口服和注射对比剂在多层螺旋CT(MSCT)显示胃部病变中的诊断价值和护理体会。方法 95例疑诊胃部疾病的患者,分别口服不同对比剂(碘、水、气体),进行MSCT三期增强扫描。通过胃充盈度、胃壁层次、病灶细节、伪影四个指标评价MSCT图像质量。结果碘对比剂显示胃壁层次(x2=9.657,P<0.01)和伪影(x2=19.477,P<0.001)均不及水和气体。所有患者均无中重度毒副反应,轻度反应6人。结论正确合理应用对比剂并做好相关护理工作是MSCT成功检查胃部疾病的关键。Objective To evaluate the diagnostic value of contrast agent in displaying gastric lesions with multislice spiral CT （MSCT） and its nursing experience. Methods 95 patients suspected stomach disease, who had different oral contrast agents （iodine, water or gas）, were undertaken MSCT enhancement examination. Image quality was compared with each other through four indicators, including stomach fullness, stomach wall structure, lesions details and artifacts. Results Image quality using iodine contrast agent to show stomach wall structure （x^2= 9. 657, P 〈0. 01） and artifacts （x^2 19. 477, P 〈0. 001） was not better than that using water or gases. All patients had no severe toxicity, with mild reactions in 6 cases. Conclusion A correct and rational application of contrast agent and a good nursing care are helpful to make a successful examination of gastric diseases with MSCT.

关 键 词：胃 体层摄影术 X线计算机 对比剂 护理 不良反应 

分 类 号：R573[医药卫生—消化系统] R814.2[医药卫生—内科学]