中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
13期
1593-1595
,共3页
体层摄影术,螺旋计算机%胃肿瘤%护理%对比剂
體層攝影術,螺鏇計算機%胃腫瘤%護理%對比劑
체층섭영술,라선계산궤%위종류%호리%대비제
Body section radiology,spiral computer%Gastric cancer%Nursing%Contrast medium
目的 探讨不同对比剂在能谱CT显示胃癌病变中的护理体会.方法 150例胃癌患者按照抛硬币法被平均分为试验组及对照组,其中对照组以口服温开水作为对比剂,试验组以口服20 ml碘海醇混入温开水1 500ml,观察两者对胃癌的检测情况、不良反应及相应护理.结果 能谱CT在采用试验组及对照组两组不同对比剂的情况下,对胃癌的检出率分别为96.0％,85.3％,差异具有统计学意义(x2 =5.042,P＜0.05).同时,两组患者出现轻度不良反应的比例分别为10.7％,6.7％,差异无统计学意义(x2 =0.785,P＞0.05).然而,试验组73.3％患者检查后均出现焦虑或抑郁情绪,明显高于对照组的45.3％,差异具有统计学意义(x2=12.185,P＜0.01).结论 碘海醇可作为能谱CT的良好显影剂,提高胃癌的检出率;但检查过程中,相应的护理具有重要意义.
目的 探討不同對比劑在能譜CT顯示胃癌病變中的護理體會.方法 150例胃癌患者按照拋硬幣法被平均分為試驗組及對照組,其中對照組以口服溫開水作為對比劑,試驗組以口服20 ml碘海醇混入溫開水1 500ml,觀察兩者對胃癌的檢測情況、不良反應及相應護理.結果 能譜CT在採用試驗組及對照組兩組不同對比劑的情況下,對胃癌的檢齣率分彆為96.0％,85.3％,差異具有統計學意義(x2 =5.042,P＜0.05).同時,兩組患者齣現輕度不良反應的比例分彆為10.7％,6.7％,差異無統計學意義(x2 =0.785,P＞0.05).然而,試驗組73.3％患者檢查後均齣現焦慮或抑鬱情緒,明顯高于對照組的45.3％,差異具有統計學意義(x2=12.185,P＜0.01).結論 碘海醇可作為能譜CT的良好顯影劑,提高胃癌的檢齣率;但檢查過程中,相應的護理具有重要意義.
목적 탐토불동대비제재능보CT현시위암병변중적호리체회.방법 150례위암환자안조포경폐법피평균분위시험조급대조조,기중대조조이구복온개수작위대비제,시험조이구복20 ml전해순혼입온개수1 500ml,관찰량자대위암적검측정황、불량반응급상응호리.결과 능보CT재채용시험조급대조조량조불동대비제적정황하,대위암적검출솔분별위96.0％,85.3％,차이구유통계학의의(x2 =5.042,P＜0.05).동시,량조환자출현경도불량반응적비례분별위10.7％,6.7％,차이무통계학의의(x2 =0.785,P＞0.05).연이,시험조73.3％환자검사후균출현초필혹억욱정서,명현고우대조조적45.3％,차이구유통계학의의(x2=12.185,P＜0.01).결론 전해순가작위능보CT적량호현영제,제고위암적검출솔;단검사과정중,상응적호리구유중요의의.
Objective To investigate the nursing highlight of different contrast medium to detect gastric lesions by spectral CT.Methods A total of 150 patients with gastric cancer were averagely divided into experimental group and control group according to coin toss.The 20 ml iohexol mixed with 1 500 ml warm water were used in the experimental group,but only oral warm water was used in the control group.The monitored result of gastric cancer,adverse reactions and appropriate care were evaluated.Results The corrective rate of spectral CT for gastric cancer detection in the experimental group and control group were 96.0％ and 85.3％ respectively,and the difference was significant (x2 =5.042,P ＜ 0.05).Meanwhile,the proportion of adverse reactions in the experimental group and control group were 10.7％ (8/75) and 6.7％ (5/75),but the difference was not statistically significant (x2 =0.785,P ＞ 0.05).However,73.3％ patients in the experimental group underwent anxiety or depression,which was significantly higher than that in the control group (45.3％),with a statistically significant difference (x2 =12.185,P ＜ 0.01).Conclusions Iohexol can be used as a good developer spectrum of spectral CT,which may also improve the detection rate of gastric cancer.Meanwhile,corresponding nursing is also important during the process.
