【作者】 梁俊丽； 黄红芳； 陈秀珍； 窦瑛； 潘锡屏；

【Author】 Liang Junli;Huang Hongfang;Chen Xiuzhen;Dou Ying;Pan Xiping;The First Affiliated Hospital of Guangxi Medical University;

【机构】 广西医科大学第一附属医院放射科；

【摘要】 目的:探讨基于多学科联合循证医学在CT增强碘对比剂外渗处理中的应用。方法:选取2020.07-2020.12在广西医科大学第一附属医院放射科行CT增强扫描的患者64例作为对照组,选取2021.01-2021.06在广西医科大学第一附属医院放射科行CT增强扫描的患者64例作为干预组。对照组采用传统护理模式,干预组在对照组的基础上采用多学科联合循证医学护理模式,比较两组患者的外渗发生率、碘对比剂不良反应事件发生率、护理风险事故总发生率、GSES评分以及患者的满意度。结果:干预组碘对比剂外渗发生率、碘对比剂不良事件发生率以及护理风险事件总发生率明显低于对照组,差异有统计学意义(P<0.05),护理前,两组患者GSES评分进行比较,不存在统计学意义;两组患者护理后GSES评分均显著高于护理前,且干预组护理后GSES评分显著高于对照组,差异有统计学意义(P<0.05)。干预组护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论:基于多学科联合循证医学在CT增强碘对比剂外渗处理中的应用理想,有效降低碘对比剂外渗发生率、不良事件发生率、护理风险事件总发生率等,提高患者满意度等,值得推广应用。更多还原

【Abstract】 Objective:To explore the application of multidisciplinary combined evidence-based medicine in the extravasation treatment of CT-enhanced iodine contrast media.Methods:A total of 64 patients who underwent CT-enhanced scanning in the Radiology Department of the First Affiliated Hospital of Guangxi Medical University from July 2020 to December 2020 were selected as the control group,A total of 64 patients who underwent CT enhanced scanning in the Radiology Department of the First Affiliated Hospital of Guangxi Medical University from January 2021 to June 2021 were selected as the intervention group.The control group adopted the traditional nursing model,while the intervention group adopted the multidisciplinary combined evidence-based medicine nursing model on the basis of the control group.The incidence of extravasation,the incidence of adverse events with iodine contrast media,the overall incidence of care risk accidents,GSES scores,and patient satisfaction were compared between the two groups.Results:The incidence of extravasation of iodine contrast agent,the incidence of adverse events of iodine contrast agent and the total incidence of nursing risk events in the intervention group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,the GSES scores of the two groups of patients were compared,and there was no statistical significance;the GSES scores of the two groups of patients after nursing were significantly higher than those before nursing,and the GSES scores of the intervention group after nursing were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction in the intervention group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Based on the ideal application of multidisciplinary combined evidence-based medicine in the treatment of CT-enhanced iodine contrast medium extravasation,it can effectively reduce the incidence of iodine contrast medium extravasation,the incidence of adverse events,and the total incidence of nursing risk events,and improve patient satisfaction.It is worth promoting the application.更多还原