摘要:
目的:探讨护理干预在冠状动脉CTA(CCTA)检查中的临床应用价值。资料与方法:将准备做CCTA检查的80例患者,随机分为对照组和护理干预组(n=40例)。对照组:口服倍他乐克,降低心率,不做其他干预。护理干预组:采取一系列护理干预措施,有效降低患者心率(HR<70bpm)及控制心率稳定。结果:对照组,检查成功25例,15例失败,成功率为62.50%(25/40),成功25例患者中图像质量优13例,良好5例,基本满足诊断7例,优良率为72%(18/25);护理干预组,检查成功38例,失败2例,成功率为95%(38/40),成功38例患者中图像质量优30例,良好5例,基本满足诊断3例,优良率为92.11%(35/38)。2组检查成功率具有明显统计学差异(P<0.01),图像质量优良率亦有统计学意义(P<0.05)。结论:做CCTA检查前实施护理干预能明显提高检查成功率及保证图像质量优良率。
Abstract:
Objective: To study the application value of nursing intervention in the coronary artery MSCTA check.Materials and Methods: 80 patients who were ready to received cornary artery MSCTA examinations,were randomly divided into control group(n=40) and the nursing intervention groups(n=40).Care in the control group only to oral metoprololg decreas heart rate,no other intervention measures,Care in the nursing intervention group,to take a series of nursing intervention measures,effectively reduce the heart rate(HR<70 bpm) and control of heart rate stability.Results: The control group: success in 25 cases,failure in 15 cases,the success rate is 62.50%(25/40),of which image quality was excellent in 13 cases,good in 5 cases,basically meet the needs of diagnosis in 7 cases,the excellent and good rate was 72%(18/25);the nursing intervention group: success in 38 cases,failure in 2 cases,the success rate is 95%(38/40),of which the image quality was excellent in 30 cases,good in 5 cases,basically meet the needs of diagnosis in 3 cases,the excellent and good rate was 92.11%(35/38).The success rate in two groups was significant difference(P<0.01),the image of good quality rate also had statistical significance(P<0.05).Conclusion: It can significantly improve the success rate;ensure the image quality and diagnostic excellent rate to take the nursing intervention before coronary CTA check.
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