山东省医疗机构CT/MRI对比剂应用的统计分析  

Statistical analysis of the application of CT/MRI contrast agents in medical institutions of Shandong Province

作　　者：韩士忠 徐隆基 吴雅迪[2] 张翼 王光彬 HAN Shizhong;XU Longji;WU Yadi;ZHANG Yi;WANG Guangbin(Department of Medical Imaging,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Department of Medical Imaging,The 80th Group Military Hospital of the Chinese People's Liberation Army,Weifang 261061,China;Department of Information,Shandong Maternal and Child Health Care Hospital,Jinan 250014,China)

机构地区：[1]山东第一医科大学附属省立医院医学影像科,山东济南250021 [2]中国人民解放军陆军第八十集团军医院医学影像科,山东潍坊261021 [3]山东省妇幼保健院信息科,山东济南250014

出　　处：《医学影像学杂志》2024年第5期137-139,共3页Journal of Medical Imaging

摘　　要：目的调研CT/MRI对比剂的应用现状,了解存在的问题,为合理规范使用对比剂提出合理建议。方法以调查问卷的方式选取山东省内313所二级以上医疗机构对比剂使用情况,问卷内容包括增强检查比率,对比剂使用权限以及不良反应率等问题。结果三级甲等、三级乙等、二级医院的CT/MRI增强检查的强化率存在差异,随着医院等级的提升,强化率逐渐增加;强化检查申请主要有临床科室医师开具(78.27%),仅有少部分医院增强检查可以由放射科开具(19.49%);60.00%以上的医疗机构在临床开具申请单时需要注明对比剂名称,对比剂不良反应率在采集后没有变化。结论影像检查强化率反映出了二、三级医疗机构间影像检查项目的差别。放射科作为对比剂使用科室,对其特性和适应证的掌握情况应高于其他科室,因此判定患者是否需要强化扫描以及使用的对比剂种类应由放射科主导,但从调研结果显示执行情况存在较大差异,需要提升规范化应用和依据。Objective To investigate the application of CT/MRI contrast agents,to explore the existing problems,and to put forward reasonable suggestions for the reasonable and standardized use of these contrast agents.Methods A survey of contrast agent application in 313 medical institutions in Shandong province was conducted by means of questionnaire,including en⁃hanced examination ratio,use authority of contrast agents,and adverse reaction rate.Results The enhancement rate of the CT/MRI was significant different in Grade III A,Grade III B and Grade II hospitals.Highter grade hospital had higher enhancement rate;the application for enhanced examination was mainly issued by doctors in clinical departments(78.27%),and only in a small number of hospitals it could be issued by the radiology department(19.49%).More than 60%of the medical institutions needed to indicate the name of the contrast agents when issuing the clinical application form.The adverse reaction rate of contrast agents remained unchanged after the centralized procurement of drugs.Conclusion As a department of contrast use,the radiol⁃ogy department should know its characteristics and indications better than other departments.Therefore,whether the patient needs enhanced examinations and the type of contrast should be led by the radiology department.But the investigation results are quite different,and the standard and basis need to be proposed.

关 键 词：对比剂 增强扫描 体层摄影术 X线计算机 磁共振成像 

分 类 号：R981[医药卫生—药品] R445[医药卫生—药学]