磁共振增强扫描造影剂外漏原因及内科护理  

The Causes of Leakage of Contrast Agent in Magnetic Resonance Enhanced Scan and Medical Nursing

作　　者：张海燕[1] 程怡 杨佳敏 ZHANG Haiyan;CHENG Yi;YANG Jiamin(Department of Neurology,The First Hospital Affiliated to Hebei North University,Zhangjiakou 075000,Hebei,P.R.China;Department of Imaging,The First Hospital Affiliated to Hebei North University,Zhangjiakou 075000,Hebei,P.R.China)

机构地区：[1]河北北方学院附属第一医院神经内科,河北张家口075000 [2]河北北方学院附属第一医院影像科,河北张家口075000

出　　处：《影像科学与光化学》2021年第1期153-156,共4页Imaging Science and Photochemistry

摘　　要：本文探讨磁共振增强扫描造影剂外漏的影响因素及相关护理问题。36例造影剂外漏患者为实验组,30例非造影剂外漏患者为对照组,收集两组患者的临床资料进行整理分析。结果发现,实验组中,年龄≤10岁或≥65岁患者、患有血管性疾病和肿瘤性疾病患者、穿刺静脉、注射速度快、注射渗透压高时,造影剂外漏均高于对照组(P<0.05)。多因素Logistic回归分析发现,年龄、患者疾病、注射静脉、注射速度、高渗透压为造影剂外漏的显著影响因素。此外,头皮针外漏程度高于密闭式留置针(P<0.05)。遵守静脉穿刺流程,准确选择穿刺静脉,高压注射器使用得当,可有效降低造影剂外漏发生。The factors affecting the leakage of contrast agent in magnetic resonance enhanced scan and the related nursing problems were studied.36 patients with contrast media leakage were in the experimental group,and 30 patients without contrast media leakage were in the control group.Clinical data of the two groups was collected and analyzed.The results showed that the contrast agent leakage in the experimental group was higher than in the control group(P<0.05)in patients with age≤10 years old or≥65 years old,patients with vascular diseases and neoplastic diseases,puncture veins,rapid injection speed and high injection osmotic pressure.Multivariate Logistic regression analysis showed that age,patient disease,intravenous injection rate,and high osmotic pressure were the significant influencing factors for contrast agent leakage.In addition,the leakage degree of scalp needle was higher than closed indwelling needle(P<0.05).Nurses observe the venipuncture process,accurately select the venipuncture vein,and use the high-pressure syringe properly,which can effectively reduce the occurrence of contrast agent leakage.

关 键 词：磁共振成像 护理 造影剂 外漏 

分 类 号：R473[医药卫生—护理学]