北华大学学报（自然科学版）
北華大學學報（自然科學版）
북화대학학보（자연과학판）
JOURNAL OF BEIHUA UNIVERSITY(NATURAL SCIENCE)
2014年
3期
362-365
,共4页
肠道准备%多层螺旋CT%小肠造影
腸道準備%多層螺鏇CT%小腸造影
장도준비%다층라선CT%소장조영
bowel preparation%multislice spiral CT%small intestine radiography
目的：探讨两种肠道准备方法在多层螺旋CT小肠造影中的对比效果.方法选取行多层螺旋CT小肠造影的患者152例,根据肠道准备方法分为两组,76例患者先行肥皂水清洁灌肠后口服泛影葡胺充盈肠道为对照组,76例患者口服甘露醇和泛影葡胺混合水溶液充盈肠道为观察组,比较两组患者的服药依从性、检查舒适度、肠道充盈效果、造影图像质量、不良反应情况.结果观察组患者的服药依从性、检查舒适度、肠道充盈效果的有效性均明显好于对照组,观察组患者造影图像质量的优良率明显高于对照组,观察组患者不良反应发生率明显低于对照组,差异均有统计学意义(P<0.05).结论甘露醇和泛影葡胺混合水溶液充盈肠道是多层螺旋CT小肠造影的有效肠道准备方法,可显著提高患者的服药依从性和检查舒适度,明显改善患者的肠道充盈效果和造影图像质量,引发的不良反应较少,具有较高的操作安全性,值得临床推广使用.
目的：探討兩種腸道準備方法在多層螺鏇CT小腸造影中的對比效果.方法選取行多層螺鏇CT小腸造影的患者152例,根據腸道準備方法分為兩組,76例患者先行肥皂水清潔灌腸後口服汎影葡胺充盈腸道為對照組,76例患者口服甘露醇和汎影葡胺混閤水溶液充盈腸道為觀察組,比較兩組患者的服藥依從性、檢查舒適度、腸道充盈效果、造影圖像質量、不良反應情況.結果觀察組患者的服藥依從性、檢查舒適度、腸道充盈效果的有效性均明顯好于對照組,觀察組患者造影圖像質量的優良率明顯高于對照組,觀察組患者不良反應髮生率明顯低于對照組,差異均有統計學意義(P<0.05).結論甘露醇和汎影葡胺混閤水溶液充盈腸道是多層螺鏇CT小腸造影的有效腸道準備方法,可顯著提高患者的服藥依從性和檢查舒適度,明顯改善患者的腸道充盈效果和造影圖像質量,引髮的不良反應較少,具有較高的操作安全性,值得臨床推廣使用.
목적：탐토량충장도준비방법재다층라선CT소장조영중적대비효과.방법선취행다층라선CT소장조영적환자152례,근거장도준비방법분위량조,76례환자선행비조수청길관장후구복범영포알충영장도위대조조,76례환자구복감로순화범영포알혼합수용액충영장도위관찰조,비교량조환자적복약의종성、검사서괄도、장도충영효과、조영도상질량、불량반응정황.결과관찰조환자적복약의종성、검사서괄도、장도충영효과적유효성균명현호우대조조,관찰조환자조영도상질량적우량솔명현고우대조조,관찰조환자불량반응발생솔명현저우대조조,차이균유통계학의의(P<0.05).결론감로순화범영포알혼합수용액충영장도시다층라선CT소장조영적유효장도준비방법,가현저제고환자적복약의종성화검사서괄도,명현개선환자적장도충영효과화조영도상질량,인발적불량반응교소,구유교고적조작안전성,치득림상추엄사용.
Objective To investigate the comparative effect of two intestinal preparation methods used in multi-slice spiral CT enterography. Method 152 patients who underwent multi-slice CT enterography were divided into two groups. 76 patients treated with oral urografin intestinal tract filling after the cleaning enema by soap solution were taken as control group. 76 patients treated with oral mixed mannitol and meglumine diatrizoate water solution intestinal tract filling gut were taken as observation group. The compliance,degree of comfort,intestinal tract filling effect, image quality and adverse reactions of patients in two groups were compared. Results The compliance,degree of comfort and effect of intestinal tract filling in the observation group were significantly better than those in the control group. The excellent and good rates of angiography image quality in the observation group were significantly higher than those in the control group. The incidence of adverse reactions in the observation group was significantly lower than that in the control group. All the differences were statistically significant(P<0. 05). Conclusion The intestinal tract filling with mixed aqueous solution containing Mannitol and meglumine diatrizoate should be an effective method for intetinal preparation method in multi-slice spiral CT enterography,which can significantly improve the compliance,degree of comfort,intestinal tract filling effect and image quality. The method with a high safety can induced less adverse reactions and should be worthy of clinical use.
