碘佛醇注射液在双肾静脉逆行造影中不良反应观察及处理

碘佛醇注射液在双肾静脉逆行造影中不良反应观察及处理刘志芳
【期刊名称】《辽宁医学院学报》
【年(卷),期】2014(000)002
【摘要】Objective To investigate the adverse reactions and treatment method of ioversol injection in double renal vein retro-grade pyelography .Methods 240 cases with double renal vein retrograde pyelography were selected as observation objects from May 2012 to May 2013 in our hospital .They were randomly divided into the observation group and the control group and each group includ-ed 120 cases.The observation group was treated with nonionic contrast agent ioversol with evidence-based nursing, while the control group received ioversol with routine nursing.The adverse reactions and developing satisfactory time of the two groups were observed and the reasons of adverse reactions were investigated.Results In the observation group, the incidence rate of adverse reactions was 2.5%, significantly lower than that of the control group (8.3%), and the difference was statistically significant (P<0.05); develo-ping satisfactory time of the observati on group was (1.3±0.5) min, significantly lower than that of the control group (1.8±0.8) min and the difference was statistically significant ( P<0.05 );adverse reactions occurred in 13 patients , of which the proportion of mental stress accounted for the highest (up to 61.5%), followed by the speed of injection of a contrast
agent, (up to 38.5%).Conclusion Double renal vein retrograde pyelography with ioversol under evidence-based nursing measures can effectively reduce the adverse reac-tion risks and decrease developing satisfactory time.Evidence based nursing is the effective nursing measures to reduce adverse reac-tions.%目的：探讨碘佛醇注射液在双肾静脉逆行造影中的不良反应和处理方法。

方法选择2012年5月至2013年5月于我院行双肾静脉逆行造影的240例患者作为观察对象，随机分为观察组和对照组，每组各120例。

观察组在
循证护理措施下采用非离子型对比剂碘佛醇，对照组在常规护理措施下采用碘佛醇，观察不良反应和显影满意时间，并调查不良反应发生原因。

结果观察组不良反应发生率为2.5％，显著低于对照组8.3％，差异具有统计学意义（ P＜0.05）；观察
组显影满意时间为（1.3±0.5） min，显著低于对照组（1.8±0.8） min，差异具
有统计学意义（P＜0.05）；13例不良反应发生患者中，精神紧张患者比例最高，达61.5％，其次为注射造影剂速度快，达38.5％。

结论在循证护理措施下采用碘
佛醇行双肾静脉逆行造影，可有效降低不良反应发生风险，缩短显影满意时间，循证护理是减少不良反应的有效护理措施。

【总页数】3页(P92-94)
【作者】刘志芳
【作者单位】深圳市松岗人民医院，广东深圳518108
【正文语种】中文
【中图分类】R472.9
【相关文献】
1.肾病综合征逆行肾静脉造影的临床价值 [J], 王艳侠;易玉海
2.低渗非离子型造影剂碘佛醇在冠脉造影中的临床观察 [J], 石林
3.荧光素钠注射液在眼底荧光血管造影中不良反应的临床观察 [J], 陆莹;赵菊莲
4.逆行肾静脉造影检测肾恶性肿瘤侵犯肾内静脉的临床研究 [J], 刘德鑫;李华东;颜醒愚;李平
5.肾病综合征逆行肾静脉造影的临床价值 [J], 易玉海;王艳侠
因版权原因，仅展示原文概要，查看原文内容请购买。