基于风险评估分级的预警护理在预防高龄患者造影剂外渗中的应用OA
Application of early warning nursing based on risk assessment classification in preventing contrast agent extravasation in elderly patients
目的 研究基于风险评估分级的预警护理在预防高龄患者造影剂外渗中的应用效果.方法 前瞻性选取中山大学附属第一医院 2022 年1 月至2025 年3 月收治的150 例影像学增强扫描高龄患者作为研究对象,按照随机数表法分为75 例对照组(给予常规护理)与75 例研究组(给予基于风险评估分级的预警护理).比较2 组造影剂外渗率等指标.结果 研究组的造影剂外渗率低于对照组,一次穿刺成功率高于对照组,外渗区域疼痛评分、肿胀最大直径及肿胀完全消退时间均优于对照组,患者的满意度评分均高于对照组(P均<0.05).结论 基于风险评估分级的预警护理可有效预防高龄患者影像学增强扫描造影剂外渗发生,提升穿刺成功率,减轻外渗相关症状,改善患者满意度.
Objective To study the application effect of early warning nursing based on risk assessment classification in preventing contrast agent extravasation in elderly patients.Methods A total of 150 elderly patients with enhanced imaging scans admitted to the First Affiliated Hospital,Sun Yat-sen University from January 2022 to March 2025 were prospectively selected as the research subjects.They were divided into a control group of 75 patients(received conventional care)and a study group of 75 patients(received early warning care based on risk assessment classification)according to the random number table method.The rate of contrast agent extravasation and other indicators were compared between the two groups.Results Compared with the control group,the study group had a lower rate of contrast agent extravasation,a higher success rate of one-time puncture,and better scores for pain in the extravasation area,maximum swelling diameter,and time for complete swelling resolution,and higher patient satisfaction scores(P<0.05).Conclusion The early warning nursing based on the risk assessment classification can prevent the occurrence of contrast agent extravasation during enhanced imaging scan in elderly patients,increase the success rate of puncture,alleviate the symptoms related to extravasation,and improve patient satisfaction.
周春燕;张洁;周成利
中山大学附属第一医院,广东 广州,510080中山大学附属第一医院,广东 广州,510080中山大学附属第一医院,广东 广州,510080
医药卫生
影像学增强扫描风险评估造影剂外渗预警护理造影检查
enhanced imaging scanrisk assessmentcontrast agent extravasationearly warning carecontrast examination
《中西医结合护理(中英文)》 2026 (7)
161-165,5
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