CT检查患者碘造影剂不良反应的危险因素及护理策略研究  

Research on Risk Factors and Nursing Strategies for Adverse Reactions of Iodine Contrast Agents in CT Examination Patients

作　　者：陈丽丽 CHEN Lili(Radiology Center,Torch Development Zone People's Hospital,Zhongshan City,Guangdong Province 528437)

机构地区：[1]广东省中山市火炬开发区人民医院放射医学中心,广东中山528437

出　　处：《智慧健康》2025年第4期34-37,共4页Smart Healthcare

摘　　要：目的 分析CT检查患者碘造影剂不良反应的危险因素,并针对危险因素提出合适的护理策略。方法 收集本院2022年2月—2024年4月收治的235例CT检查患者的临床资料进行回顾性研究,记录并分析了患者在CT检查后出现碘造影剂不良反应的概率,采用单因素及多因素Logistic回归分析法分析患者在CT检查后发生碘造影剂不良反应的危险因素。结果 235例CT增强扫描患者检查后造影剂不良反应发生率为9.78%(23/235),其中碘海醇造影剂不良反应发生率为10.53%(8/76),碘普罗胺造影剂不良反应总发生率为9.35%(10/107),碘佛醇造影剂不良反应总发生率为9.62%(5/52)。三种造影剂不良反应发生率比较,差异无统计学意义(P>0.05);行CT增强扫描检查患者造影剂不良反应总发生率为38.33%(23/60);单因素分析显示:相较于年龄<60岁、无过敏史、无糖尿病、无联合用药、造影剂使用总量<90 mL、肾功能正常的患者,年龄≥60岁、有过敏史、有糖尿病、有联合用药、造影剂使用总量≥90 mL、肾功能低下的患者造影剂不良反应发生率更高(P<0.05);多因素分析显示:年龄≥60岁、有过敏史、有糖尿病、有联合用药、造影剂总量≥90 mL、肾功能低下均是行CT检查后发生碘造影剂不良反应的风险因素(P<0.05)。结论 老龄、过敏史、糖尿病史、有联合用药、造影剂总量过多、肾功能低下均是为CT检查患者后发生碘造影剂不良反应的危险因素,针对以上高危因素进行预防性护理措施可能有助于降低检查后造影剂不良反应发生率。Objective To analyze the risk factors of adverse reactions to iodinated contrast agents in patients undergoing CT examination,and to propose appropriate nursing strategies based on these risk factors.Methods A retrospective study was conducted on the clinical data of 235 CT examination patients admitted to our hospital from February 2022 to April 2024.The incidence of adverse reactions to iodinated contrast agents in CT examination patients was recorded,and univariate and multivariate logistic regression models were used to analyze the risk factors for adverse reactions to iodinated contrast agents after CT examination.Results The incidence of adverse reactions to contrast agents after CT enhanced scanning in 235 patients was 9.78%(23/235),of which the incidence of adverse reactions to iodixanol contrast agent was 10.53%(8/76),the total incidence of adverse reactions to iodixanide contrast agent was 9.35%(10/107),and the total incidence of adverse reactions to iodixanol contrast agent was 9.62%(5/52).There was no statistically significant difference in the incidence of adverse reactions among the three contrast agents(P>0.05);The total incidence of adverse reactions to contrast agents in patients undergoing CT enhanced scanning was 38.33%(23/60);Single factor analysis showed that the incidence of adverse reactions of contrast media was higher in patients aged≥60 years,with allergy history,with diabetes,with combined use of contrast media,with total use of contrast media≥90mL,and with normal renal function than in patients aged<60 years,without allergy history,without diabetes,without combined use of contrast media,with total use of contrast media≥90mL,and with low renal function(P<0.05);Multivariate analysis showed that:age≥60 years,history of allergy,diabetes,combined medication,total amount of contrast agent≥90mL,and low renal function were all risk factors for adverse reactions of iodine contrast agent after CT examination(P<0.05).Conclusion Aging,history of allergy,history of diabetes,combined use o

关 键 词：CT检查 碘造影剂不良反应 危险因素 护理策略 

分 类 号：R473[医药卫生—护理学]