细节护理对CT增强扫描患者碘对比剂外渗的预防分析
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朱雪平
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玉林市第一人民医院，广西玉林，537000
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摘要：目的 探讨细节护理预防CT 增强扫描患者碘对比剂外渗的应用价值。方法 试验对象的抽取时间为2024 年1 月至2025 年5 月，98 例均为在本院接受CT 增强扫描的患者，依据红篮球法分组，49 例行常规护理者命名为对照组，49 例行细节护理者命名为研究组，两组就碘对比剂外渗发生情况、护理质量、心理状态、检查时间与配合度等展开比较。结果 组间进行碘对比剂外渗发生率比较，研究组低，且显著低于对照组，具备统计学意义，P＜0.05；组间进行服务态度、健康宣教、基础护理、技术操作等护理质量评分比较，研究组更高于对照组，差异显著，P＜0.05；组间进行SAS 评分、SDS 评分比较，干预前差异小，P＞0.05；干预后，研究组更低，同对照组有统计学意义，P＜0.05；组间进行检查时间比较，研究组短；组间进行药物注射、上机扫描配合度评分比较，研究组高，均与对照组存在显著性差异，P＜0.05；两组护理满意度作比较，研究组高，且与对照组存在统计学差异，P＜0.05。结论对CT 增强扫描患者实施细节护理能够有效预防碘对比剂外渗的情况发生，缩短检查时间，提高患者配合度与整体护理质量，改善心理状况，保证护理满意度，具有采纳和进一步推广的价值。
关健词：CT 增强扫描；碘对比剂外渗；细节护理
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Analysis of the Preventive Effect of Detailed Nursing on Contrast Agent Extravasation in CT Enhancement Scanning Patients
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Xueping Zhu
Yulin First People's Hospital, Yulin Guangxi 537000，china
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Abstract: Objective To explore the application value of detailed nursing in preventing the extravasation of iodinated contrast media in patients undergoing contrast-enhanced CT scans. Methods The study period spanned from January 2024 to May 2025, and 98 patients who underwent contrast-enhanced CT scans in our hospital were selected as the study subjects. They were divided into two groups using the red-blue ball method: 49 patients who received routine nursing were designated as the control group, and 49 patients who received detailed nursing were designated as the study group. The two groups were compared in terms of the incidence of iodinated contrast media extravasation, nursing quality, psychological status, examination time, and patient cooperation. Results The incidence of iodinated contrast media extravasation was significantly lower in the study group compared to the control group, with statistical significance (P < 0.05). Nursing quality scores, including service attitude, health education, basic nursing care, and technical operations, were significantly higher in the study group than in the control group (P < 0.05). Before the intervention, there were no significant differences in SAS and SDS scores between the two groups (P > 0.05). After the intervention, the study group showed significantly lower SAS and SDS scores compared to the control group (P < 0.05). The study group also had a shorter examination time and higher cooperation scores for medication injection and on-machine scanning, with statistically significant differences compared to the control group (P < 0.05). Nursing satisfaction was significantly higher in the study group than in the control group (P < 0.05). Conclusion Implementing detailed nursing for patients undergoing contrast-enhanced CT scans can effectively prevent the extravasation of iodinated contrast media, shorten examination time, improve patient cooperation and overall nursing quality, alleviate psychological distress, and ensure nursing satisfaction. This approach is worthy of adoption and further promotion.
Keywords : CT enhanced scan; Iodine contrast agent extravasation; Detail care
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