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目的:探讨护理干预在能谱CT冠脉CT血管成像(CTA)中的应用,评价护理指导在影像诊断中的价值。方法:1 020例受检者进行能谱CT冠脉CTA检查,对受检者进行检查前、检查中、检查后护理干预。结果:998例患者顺利完成了检查,990图像满足影像诊断要求。其中654例患者心律不齐,图像出现断层现象,646例不影响图像诊断,8例不满足图像诊断要求;7例患者心率>75次/min,服用美托洛尔无效;9例患者因精神紧张,不能坚持检查;6例患者碘对比剂血管外渗。结论:护理干预措施及护理指导对能谱CT冠脉扫描具有重要意义,确保了冠脉CTA检查临床诊断效果的发挥。
Objective: To explore the application of nursing intervention in coronary CT angiography (CTA) by spectral CT and to evaluate the value of nursing guidance in imaging diagnosis. Methods: One hundred and twenty-two subjects underwent spectral CT coronary angiography (CTA). Before and after the examination, the patients were examined before and after the nursing intervention. Results: 998 patients successfully completed the examination, 990 images meet the diagnostic imaging requirements. Among them, 654 patients had arrhythmia, the image was faulty, 646 patients did not affect the imaging diagnosis, 8 patients did not meet the requirements of image diagnosis. Seven patients had heart rate> 75 beats / min and metoprolol was ineffective. Tension, can not insist on examination; 6 patients with iodine contrast agent vascular extravasation. Conclusion: Nursing interventions and nursing guidance are of great significance for the coronary CT scanning of coronary sinus, ensuring the clinical diagnosis of coronary CTA.