不同度离子对比剂对腹部计算机断层扫描中的疼痛和舒适度的影响
Yan-Xia Sun1, Jing Shang1, Yong Cui1
1Department of Radiology, Peking University Cancer Hospital and Institute, Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Beijing 100142, China.
European journal of radiology
|August 9, 2024
概括
在CT扫描期间,高度的化对比剂显著减少了静脉通道不良的患者在CT扫描期间的疼痛和不适. 这种方法可以提高患者的舒适度,而不会影响诊断图像质量.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 对比媒体对比媒体
背景情况:
- 静脉通道不良的患者 (II级和III级) 在对比度增强的CT扫描中经常会经历疼痛和不适.
- 离子对比介质 (CM) 度是影响患者体验的关键因素.
研究的目的:
- 为了比较高度与低度化CM在减轻疼痛和不适的疗效.
- 评估对静脉疾病患者不良事件和图像质量的影响.
主要方法:
- 对206名静脉疾病患者进行前性单中心研究,这些患者接受了对比度增强CT.
- 在相同的输送速率下,iomeprol 400 (高度) 与ioversol 320 (低度) 的比较.
- 评估疼痛 (数值评分表) 和舒适度 (视觉模拟表),以及不良事件和图像质量.
主要成果:
- 高度CM组报告疼痛 (中位数为1比2) 和不适 (中位数为1比3) 分数显著降低 (p < 0.001).
- 在CM扩散 (1.0%对4.5%,p=0.214) 或过敏反应中没有显著差异.
- 定性图像分析显示,高度组的清晰度更高;定量结果相似.
结论:
- 高度的化CM有效地减少疼痛,并提高CT扫描期间静脉通道不良的患者的舒适度.
- 使用高度CM是改善患者体验而不损害诊断图像质量的首选策略.
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