CAJ | 학술논문

目的：分析子宫输卵管造影检查过程中出现的不良反应及制定相应防治措施。方法收集2006年1月至2013年12月于我院行子宫输卵管造影检查的6352例患者进行分析。结果836例出现不同程度的不良反应。其中312例出现药物性不良反应，626例出现非药物性不良反应。患者发生药物性不良反应时，主要症状为下腹部胀痛、咽喉部不适、呛咳、恶心、呕吐、气短及面部潮红、皮肤瘙痒等症状；非药物性不良反应626例，主要表现为下腹部胀痛、恶心、呕吐、面色苍白、心跳加快、血压下降、头晕、眼花等症状。结论碘过敏试验阴性的患者中，仍有少部分在造影过程中出现不同程度的不良反应，检查过程中应针对不同情况，采取相应的防治措施，以保证子宫输卵管造影检查的顺利进行。
목적：분석자궁수란관조영검사과정중출현적불량반응급제정상응방치조시。방법수집2006년1월지2013년12월우아원행자궁수란관조영검사적6352례환자진행분석。결과836례출현불동정도적불량반응。기중312례출현약물성불량반응，626례출현비약물성불량반응。환자발생약물성불량반응시，주요증상위하복부창통、인후부불괄、창해、악심、구토、기단급면부조홍、피부소양등증상；비약물성불량반응626례，주요표현위하복부창통、악심、구토、면색창백、심도가쾌、혈압하강、두훈、안화등증상。결론전과민시험음성적환자중，잉유소부분재조영과정중출현불동정도적불량반응，검사과정중응침대불동정황，채취상응적방치조시，이보증자궁수란관조영검사적순리진행。
Objective To analyze the adverse reactions of hysterosalpingography and prevention measures. Methods Totally 6 352 patients who underwent hysterosalpingography in our hospital between January 2006 and December 2013 were analyzed. Results Totally 836 cases had adverse reactions of different degrees including 312 cases of drug reactions and 626 cases of non?drug reactions. The adverse drug reactions were mainly hy?pogastralgia,laryngopharyngeal malaise,irritating cough,nausea,vomiting,shortness of breath,flush of the face,and pruritus. The non?drug reac?tions were mainly hypogastralgia,nausea,vomiting,pallor,speeding up of heart?beat,decreased blood pressure,dizziness,and blur version. Con?clusion Among patients who were negative for iodine anaphylactic test,there were still some who had adverse reactions of different degrees during HSG. Targeting at different conditions of reactions,corresponding prevention measures should be adopted to ensure the smooth progress of hysterosal?pingography.