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目的探讨充分水化护理对预防64排螺旋CT血管成像(CTA)对比剂肾病的重要性。方法回顾分析240例有危险因素接受CTA检查患者的跟踪资料。结果充分水化检查组125例,发生CIN7例,发生率5.6%,常规检查组115例,发生CIN17例,发生率14.8%。结论对接受CTA检查患者经过评估危险因素采取不同方法充分水化护理非常重要,安全、易行,可显著减少对比剂肾病的发生率,是预防对比剂肾病的一种很有效方法。
Objective To investigate the importance of adequate hydration therapy in the prevention of contrast-induced nephropathy by 64-slice spiral CT angiography (CTA). Methods Retrospective analysis of 240 patients with risk factors for CTA examination of patients tracking information. Results 125 cases of full hydration test group, CIN occurred in 7 cases, the incidence of 5.6%, 115 cases of routine examination group, CIN occurred in 17 cases, the incidence rate of 14.8%. Conclusions It is very important, safe and easy to take hydration nursing in different ways to assess the risk factors of patients undergoing CTA. It can significantly reduce the incidence of contrast-induced nephropathy and is a very effective way to prevent contrast-induced nephropathy.