医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2015年
5期
802-804,810
,共4页
桡静脉%硫酸镁%喜疗妥%碘对比剂外渗
橈靜脈%硫痠鎂%喜療妥%碘對比劑外滲
뇨정맥%류산미%희료타%전대비제외삼
Radial vein%Magnesium sulfate%Hirudoid%Iodinated contrast extravasation
目的：比较喜疗妥联合人工手法推拿＋冰袋和冰袋＋硫酸镁湿敷两种护理桡静脉穿刺碘对比剂局部外渗的效果。方法将84例行冠状动脉 CTA 桡静脉穿刺碘对比剂外渗患者分为实验组及常规组，每组42例，实验组采用喜疗妥外涂联合手法推拿＋冰袋，常规组采用冰袋＋硫酸镁湿敷，各组再根据肿胀面积分为轻、重两组，比较两种护理措施的效果。结果治疗48h 后，实验组痊愈率95．2％（40／42），其余2例治疗72h 后痊愈。常规组痊愈率73．8％（31／42），其余11例治疗96h 后痊愈，两组疗效比较轻度亚组的效果无统计学差异，重度亚组的效果有统计学差异（ P ＜0．05）。结论喜疗妥联合人工手法推拿＋冰袋可有效治疗桡静脉穿刺碘对比剂外渗所致的局部组织损伤、疼痛，尤其在重度外渗情况下其痊愈时间、皮肤损伤、手及腕部功能等方面的疗效优于冰袋＋硫酸镁湿敷。
目的：比較喜療妥聯閤人工手法推拿＋冰袋和冰袋＋硫痠鎂濕敷兩種護理橈靜脈穿刺碘對比劑跼部外滲的效果。方法將84例行冠狀動脈 CTA 橈靜脈穿刺碘對比劑外滲患者分為實驗組及常規組，每組42例，實驗組採用喜療妥外塗聯閤手法推拿＋冰袋，常規組採用冰袋＋硫痠鎂濕敷，各組再根據腫脹麵積分為輕、重兩組，比較兩種護理措施的效果。結果治療48h 後，實驗組痊愈率95．2％（40／42），其餘2例治療72h 後痊愈。常規組痊愈率73．8％（31／42），其餘11例治療96h 後痊愈，兩組療效比較輕度亞組的效果無統計學差異，重度亞組的效果有統計學差異（ P ＜0．05）。結論喜療妥聯閤人工手法推拿＋冰袋可有效治療橈靜脈穿刺碘對比劑外滲所緻的跼部組織損傷、疼痛，尤其在重度外滲情況下其痊愈時間、皮膚損傷、手及腕部功能等方麵的療效優于冰袋＋硫痠鎂濕敷。
목적：비교희료타연합인공수법추나＋빙대화빙대＋류산미습부량충호리뇨정맥천자전대비제국부외삼적효과。방법장84례행관상동맥 CTA 뇨정맥천자전대비제외삼환자분위실험조급상규조，매조42례，실험조채용희료타외도연합수법추나＋빙대，상규조채용빙대＋류산미습부，각조재근거종창면적분위경、중량조，비교량충호리조시적효과。결과치료48h 후，실험조전유솔95．2％（40／42），기여2례치료72h 후전유。상규조전유솔73．8％（31／42），기여11례치료96h 후전유，량조료효비교경도아조적효과무통계학차이，중도아조적효과유통계학차이（ P ＜0．05）。결론희료타연합인공수법추나＋빙대가유효치료뇨정맥천자전대비제외삼소치적국부조직손상、동통，우기재중도외삼정황하기전유시간、피부손상、수급완부공능등방면적료효우우빙대＋류산미습부。
Objective To compare with wet magnesium sulfate and ice packs and to evaluate the effect of Hirudoid com‐bine with artificial manipulation and ice packs in those patients with iodinated contrast extravasation through radial vein channel .Methods Eighty‐four patients with iodinated contrast extravasation through radial vein channel after accepted coronary CT angiography were enrolled in this study .Those patients were divided into experimental group and convention‐al group (42 cases in each group) .The experimental group was treated with Hirudoid combine with artificial manipulation and ice packs ,and the conventional group underwent wet magnesium sulfate and ice packs .In each group ,patients were divided into light and heavy groups according to the swelling area .And then ,the effects of two nursing interventions were compared in each group .Results After 48hrs ,in the experimental group ,the cure rate was 95 .2% (40/42) ,and the re‐maining two cases recovered after 72 hrs .In conventional group ,the cure rate was 73 .8% (31/42) ,and the remaining 11 cases recovered after 96 hrs .No significant difference was found between the two mild subgroups ,but significantly differ‐ence was found between the two severe subgroups ( P < 0 .05) .Conclusion Hirudoid combine with artificial manipulation and ice packs can effectively treat the local tissue damage and pain caused by iodinated contrast extravasation through radial vein channel .Especially ,in severe extravasation ,the effect of recovery time ,skin damage and hand and wrist function was much better than wet magnesium sulfate and ice packs .
