64排螺旋CT冠脉成像质量影响因素分析(1)
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【摘要】 目的 探讨不同护理干预条件下影响64排螺旋CT冠脉成像质量的因素。方法 138例行CT冠状动脉成像的患者，双盲法随机分为研究组72例和对照组66例，研究组检查前、中进行护理干预，包括心理干预、健康卫生宣教、屏气呼吸训练；对照组按常规操作进行。观测并记录两组患者检查时心理精神状态、心率控制时间、呼吸配合训练时间、扫描过程中不良反应的发生率及冠脉成像的质量。结果 研究组检查时焦虑与恐惧、服用药物的人数、心率控制时间及呼吸配合训练时间、检查中不良反应发生率、图像质量1~2级的比率及冠脉成像运动伪影的出现率均低于对照组(P<0.01，P<0.05)。结论 严格有效细致的护理干预是64排螺旋CT冠状动脉成像检查成功的重要保障。
【关键词】
护理干预；冠状动脉成像；64排螺旋CT
Influence of the patient’s with coronary angiography by 64-slice spiral CT
DAI Yan-xue.Heze Municipal Hospital, Heze Shandong 274031, China
【Abstract】 Objective
To investigate the influence of nursing intervention on the patients with coronary angiography by 64-slice spiral CT and their image quality.
Methods 138 patients with coronary angiography by 64-slice spiral CT were double-blind randomly divided into study group (n=72) and the control group(n= 66). nursing interventions including psychological intervention, health hygiene education, breath-hold breath training was taken in before and during coronary angiographyin the study group and conventional operations was applied in control group. Patients psychological mental state，the time of heart rate control and respiration training,incidence of adverse reactions and coronary imaging quality were observed and recorded.Results The number of anxiety，fear and drugPO， adverse reactions in examination， the time of heart rate control and respiration training, ratio of image quality from 1 to 2 andappearance rat of motion artifact were evidently lower in study group than that in control group (P<0.01, P< 0.05). Conclusion The strict and effective nursing intervention is an important guarantee of success in patients with coronary angiography by 64-slice spiral CT.
【Key words】
Nursingintervention;Coronary angiography；64-slice spiral CT
随着社会的老龄化，心血管病严重威胁着人类健康与生命，冠状动脉造影(SCA)是诊断的金标准[1]，但导管法是有创性检查，具有一定的风险性。64层CT 扫描速度快、信息量大、具有惊人的图像锐利度和清晰度、无创检查，而且对诊断冠状动脉疾病的特异性、敏感性分别达到95%和90%[2]，在临床心血管检测上有不可比拟的技术优势，已基本可取代目
作者单位：274031菏泽市立医院
前广泛使用的有创检查，从根本上改变了心血管疾病的诊疗思维，掀起了影像检测的新革命[3] ......
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