医药导报
醫藥導報
의약도보
HERALD OF MEDICINE
2015年
9期
1224-1226,1227
,共4页
李胜前%冯婧%刘福%江承平%杨云%徐秀华
李勝前%馮婧%劉福%江承平%楊雲%徐秀華
리성전%풍청%류복%강승평%양운%서수화
碘海醇%碘造影剂%CT 增强扫描%合理用药%不良反应
碘海醇%碘造影劑%CT 增彊掃描%閤理用藥%不良反應
전해순%전조영제%CT 증강소묘%합리용약%불량반응
Iohexol%Diodone%Enhanced CT scanning%Rational use of drugs%Adverse reaction
目的:调查碘海醇在 CT 增强扫描中的应用情况。方法使用碘海醇注射液进行 CT 增强扫描的患者623例,详细查阅相关数据资料。根据自制的碘造影剂临床合理应用评价标准,对造影危险因素、药物选择、用药时间、用法用量、联合用药等情况进行统计分析。结果623例中有碘海醇造影不良反应危险因素的患者302例(48.48%);进行完善健康心理教育的患者115例(18.46%);造影前后均进行水化治疗患者206例(33.07%);造影前、造影后48~72 h 都做肾功能和尿常规检查者124例(19.90%);33例患者发生变态反应,发生率5.30%。结论碘海醇在 CT 增强扫描中存在一定的不合理用药现象,需规范临床医师造影剂使用行为,制订完善用药管理措施,以促进造影剂的合理使用。
目的:調查碘海醇在 CT 增彊掃描中的應用情況。方法使用碘海醇註射液進行 CT 增彊掃描的患者623例,詳細查閱相關數據資料。根據自製的碘造影劑臨床閤理應用評價標準,對造影危險因素、藥物選擇、用藥時間、用法用量、聯閤用藥等情況進行統計分析。結果623例中有碘海醇造影不良反應危險因素的患者302例(48.48%);進行完善健康心理教育的患者115例(18.46%);造影前後均進行水化治療患者206例(33.07%);造影前、造影後48~72 h 都做腎功能和尿常規檢查者124例(19.90%);33例患者髮生變態反應,髮生率5.30%。結論碘海醇在 CT 增彊掃描中存在一定的不閤理用藥現象,需規範臨床醫師造影劑使用行為,製訂完善用藥管理措施,以促進造影劑的閤理使用。
목적:조사전해순재 CT 증강소묘중적응용정황。방법사용전해순주사액진행 CT 증강소묘적환자623례,상세사열상관수거자료。근거자제적전조영제림상합리응용평개표준,대조영위험인소、약물선택、용약시간、용법용량、연합용약등정황진행통계분석。결과623례중유전해순조영불량반응위험인소적환자302례(48.48%);진행완선건강심리교육적환자115례(18.46%);조영전후균진행수화치료환자206례(33.07%);조영전、조영후48~72 h 도주신공능화뇨상규검사자124례(19.90%);33례환자발생변태반응,발생솔5.30%。결론전해순재 CT 증강소묘중존재일정적불합리용약현상,수규범림상의사조영제사용행위,제정완선용약관리조시,이촉진조영제적합리사용。
Objective To investigate the application of iohexol in enhanced CT scanning. Methods The total of 623 patients taking iohexol for enhanced CT scanning were sampled to record relevant data for reference. According to evaluation standards for rational use of contrast media,the risk factors,selection of contrast media,medication time,usage and dosage,and drug combination were analyzed statistically. Results Among 623 patients used iohexo for enhanced CT scanning,302 patients had the risk factors of adverse reaction(the incidence rate as 48.48%) and 115 patients received psychological intervention(the incidence rate as 18.46%).And 206 patients had been given with the reasonable fluid therapy before and after angiography(the incidence rate as 33.07%),there were only 124 patients who performed the renal function and urine routine examination 48-72 h before and after angiography(the incidence rate as 19.90%).And 33 patients occured allergic reaction with the incidence rate as 5.30%. Conclusion There existed irrational phenomenon in application of diodone in enhanced CT scanning.It is necessary to further standardize the clinical application of diodone and make complete measures for rational use of diodone.