摘要
目的调查碘海醇在cT增强扫描中的应用情况。方法使用碘海醇注射液进行cT增强扫描的患者623例．详细查问相关数据资料。根据自制的碘造影剂临床合理应用评价标准，对造影危险因素、药物选择、用药时间、用法用量、联合用药等情况进行统计分析。结果623例中有碘海醇造影不良反应危险因素的患者302例（48．48％）；进行完善健康心理教育的患者115例（18．46％）；造影前后均进行水化治疗患者206例（33．07％）；造影前、造影后48～72h都做肾功能和尿常规检查者124例（19．90％）；33例患者发生变态反应，发生率5．30％。结论碘海醇在cT增强扫描中存在一定的不合理用药现象，需规范临床医师造影剂使用行为，制订完善用药管理措施，以促进造影剂的合理使用。
Objective To investigate the application of iohexol in enhanced CT scanning. Methods The total of 623 patients taking iohexol for enhanced CT scanning were sampled to record relevant data for reference. According to evaluation standards for rational use of contrast media,the risk factors,selection of contrast media,medication time,usage and dosage,and drug combination were analyzed statistically. Results Among 623 patients used iohexo for enhanced CT scanning,302 patients had the risk factors of adverse reaction( the incidence rate as 48.48%) and 115 patients received psychological intervention( the incidence rate as 18.46%).And 206 patients had been given with the reasonable fluid therapy before and after angiography( the incidence rate as 33.07%),there were only 124 patients who performed the renal function and urine routine examination 48-72 h before and after angiography( the incidence rate as 19.90%).And 33 patients occured allergic reaction with the incidence rate as5.30%. Conclusion There existed irrational phenomenon in application of diodone in enhanced CT scanning.It is necessary to further standardize the clinical application of diodone and make complete measures for rational use of diodone.
出处
《医药导报》
CAS
2015年第9期1224-1227,共4页
Herald of Medicine
基金
2013年四川省预防医学会药物应用安全科研(孵化)项目(川预学-药-2013-015)
关键词
碘海醇
碘造影剂
CT增强扫描
合理用药
不良反应
Iohexol
Diodone
Enhanced CT scanning
Rational use of drugs
Adverse reaction
