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目的探讨捏鼻屏气训练联合心理干预对行CT冠状动脉造影者心理及成像质量的影响。方法选取2014年6月—2016年6月于保定市第一医院行CT冠状动脉造影者158例。按照抽签奇偶数分为对照组78例与观察组80例,对照组受检者予以捏鼻屏气训练联合一般护理,观察组受检者在对照组基础上予以心理干预,比较两组受检者接到检查预约单时、造影当天及造影后1 d心率、汉密尔顿焦虑量表(HAMA)评分及造影图像质量。结果预约时两组受检者心率、HAMA评分比较,差异无统计学意义(P>0.05);造影当天及造影后1 d,观察组受检者心率、HAMA评分低于对照组(P<0.05)。造影后观察组受检者图像质量优于对照组(P<0.05)。结论对于行CT冠状动脉造影者给予捏鼻屏气训练联合心理干预可有效缓解受检者焦虑、紧张等情绪,减少对心率的影响,提高成像质量。
Objective To investigate the effects of pinching nose-nipping breath training and psychological intervention on the psychology and imaging quality of line CT coronary angiography. Methods From June 2014 to June 2016, 158 patients underwent CT coronary angiography in the First Hospital of Baoding. According to the random number of draw lots, 78 cases in the control group and 80 cases in the observation group, the control group received pinching the nose and breath training and general nursing. The subjects in the observation group were given psychological intervention on the basis of the control group. Receiving the booking, the heart rate, HAMA score, and contrast image quality on the day of angiography and 1 d after angiography. Results The heart rate and HAMA score of two groups were not significantly different at the time of booking (P> 0.05). On the day of angiography and 1 d after angiography, the heart rate and HAMA score of the observation group were lower than those of the control group (P <0.05) ). The post-contrast image quality of the observation group was better than that of the control group (P <0.05). Conclusion For patients undergoing CT coronary angiography, pinching the nose and breath training combined with psychological intervention can effectively relieve the anxiety and nervousness of the subjects, reduce the influence on the heart rate and improve the imaging quality.