两种不同型号的静脉留置针在冠状动脉血管造影检查中的应用比较
|
摘要
探讨不同型号静脉留置针在冠状动脉血管造影中检查效果。选取2016年2月至2016年10月在重庆市中医院心内科接受冠状动脉造影的患者86例,随机分为实验组和对照组,每组43例。实验组采用18G静脉留置针,对照组采用24G静脉留置针于静脉留置后注射造影剂。实验组患者造影剂渗透率和疼痛感低于明显对照组,扫描成功率、穿刺成功率和图像质量明显高于对照组(p<0.05)。冠状动脉血管造影检查中使用18G静脉留置针注射造影剂可以明显提高患者的造影剂渗透率、扫描成功率、穿刺成功率和图像质量并明显降低患者疼痛感。
This research was aimed to investigate the effect of different types of intravenous catheter in coronary angiography.In this study,86 patients undergoing coronary angiography at the Department of Cardiology in Affiliated Hospital of Shangqiu Medical College from February to October 2016 were selected and randomly divided into experimental group and control group,with 43 cases in each group.In the experimental group,18G intravenous catheter was used,while in the control group,24G intravenous catheter was used to inject the contrast agent in the vein.It was found that contrast medium permeability and pain feeling in the experimental group were lower than those in the control group,and the success rate of scanning and puncture as well as image quality in the experimental group were significantly higher than those in the control group(p<0.05).The use of 18G intravenous indwelling needle to inject contrast medium in coronary angiography could significantly improve contrast media penetration,scan success rate,puncture success rate and image quality as well as obviously reduce pain in patients.
This research was aimed to investigate the effect of different types of intravenous catheter in coronary angiography.In this study,86 patients undergoing coronary angiography at the Department of Cardiology in Affiliated Hospital of Shangqiu Medical College from February to October 2016 were selected and randomly divided into experimental group and control group,with 43 cases in each group.In the experimental group,18G intravenous catheter was used,while in the control group,24G intravenous catheter was used to inject the contrast agent in the vein.It was found that contrast medium permeability and pain feeling in the experimental group were lower than those in the control group,and the success rate of scanning and puncture as well as image quality in the experimental group were significantly higher than those in the control group(p<0.05).The use of 18G intravenous indwelling needle to inject contrast medium in coronary angiography could significantly improve contrast media penetration,scan success rate,puncture success rate and image quality as well as obviously reduce pain in patients.
引文
Cui Y.H.,Huang M.P.,Liang C.H.,Liu H.,and Liu Q.S.,2008,The optimization of the concentration of contrast media in heart coronary CTA by 64-MDCT,Linchuang Fangshexue Zazhi(Journal of Clinical Radiology),27(12):1753-1757(崔燕海,黄美萍,梁长虹,刘辉,刘其顺,2008,64层螺旋ct冠状动脉cta对比剂浓度选择优化,临床放射学杂志,27(12):1753-1757)
Dong L.F.,Chen J.X.,and Guo L.H.,2016,The effect of different model of venous indwelling needle on the 256-slices CTcoronary angiography image quality,Shiyong Yixue Yingxiang Zazhi(Journal of Practical Medical Imaging),(1):50-53(董丽锋,陈建新,郭林红,2016,不同型号静脉留置针对256层多层螺旋ct冠状动脉成像质量的影响,实用医学影像杂志,(1):50-53)
Hua X.L.,2007,The value of intravenous indwelling needle in enhanced CT scanning,Hubei Minzu Xueyuan Xuebao(Journal of Hubei Institute for Nationalities(Medical Edition),24(2):75-76(华小丽,2007,静脉留置针在CT增强扫描中的价值,湖北民族学院学报(医学版),24(2):75-76)
Huang L.P.,and He L.Z.,2010,Effect of two different types of indwelling needle in clinical application,Zhongguo Meirong Yixue Zazhi(Chinese Journal of Aesthetic Medicine),19(S4):17(黄利平,何勒忠,2010,两种不同型号留置针在临床应用中的效果观察,中国美容医学杂志,19(S4):17)
Li H.J.,Li W.Z.,Li C.Y.,and Zhang G.H.,2006,Application of intravenous needle retention in MSCT enhancement technique of high-pressure injection,Hulixue Zazhi(Journal of Nursing Science),21(15):43-44(李华菊,李文珍,李成云,张桂华,2006,静脉留置针在多层螺旋CT高压增强注射中的应用,护理学杂志,21(15):43-44)
Li Q.,Liu Z.Y.,Wang P.,Li D.,and Gao X.M.,2011,Health education of coronary angiography with 640-slice,Zhongguo Meirong Yixue Zazhi(Chinese Journal of Aesthetic Medicine),20(S6):410(李琦,刘争扬,王萍,李冬,高秀梅,2011,640层cta冠状动脉血管造影检查的健康教育,中国美容医学杂志,20(6):410)
Lu R.,Li X.,Chen R.,Sun X.M.,Wang M.J.,and Luo Q.L.,2010,Evaluation of safety of using single-luminal intravenous needle during coronary CTA,Xiandai Shengwu Yixue Jinzhan(Progress in Modern Biomedicine),10(10):1958-1960(卢蓉,李雪,陈蓉,孙秀梅,王明菊,罗巧玲,2010,单腔静脉留置针在冠脉cta检查应用中的安全性评价,现代生物医学进展,10(10):1958-1960)
Lu Y.F.,2013,Clinical application and nursing experience of intravenous indwelling needle in children,Zhongguo Shiyong Huli Zazhi(Chinese Journal of Practical Nursing),29(S2):118(卢燕芳,2013,浅谈小儿静脉留置针的临床应用及护理体会,中国实用护理杂志,29(S2):118)
Shen X.,and Luo Y.D.,2009,Nursing in coronary arteriography by 16-slice spiral CT,Chongqing Yike Daxue Xuebao(Journal of Chongqing Medical University),34(12):1752-1754(沈霞,罗银灯,2009,16层螺旋CT冠状动脉造影检查的护理配合与体会,重庆医科大学学报,34(12):1752-1754)
Shen X.Q.,and Ma Q.X.,2009,Application of different types of introcans in coronary angiography,Hulixue Zazhi(Journal of Nursing Science),24(21):30-31(沈小清,马清秀,2009,冠状动脉血管造影中不同型号留置针的应用效果观察,护理学杂志,24(21):30-31)
Vogl T.J.,Abolmaali N.D.,Diebold T.,Engelmann K.,Ay M.,and Dogan S.,Wimmer-Greinecker G.,Moritz A.,and Herzog C.,2002,Techniques for the detection of coronary atherosclerosis:multi-detector row CT coronary angiography,Radiology,223(1):212-220
Xu M.L.,and Zhang G.M.,2013,Comparison of intravenous indwelling needle and scalp needle in CT enhanced scan,Huli Xuebao(Journal of Nursing),(6):49-50(许丽君,张桂敏,2013,静脉留置针与头皮针在CT增强扫描患者中的应用比较,护理学报,(6):49-50)
Xue F.,and Shao D.N.,2013,Application and comparison of vein detained needle and surflo winged needle in CTen hanced scan,Yiliao Weisheng Zhuangbei Zazhi(Chinese Medical Equipment Journal),34(11):70(薛芳,邵东宁,2013,静脉留置针与蝶翼针在ct增强扫描中的应用比较,医疗卫生装备,34(11):70)
Yang X.Y.,2011,Comparison of two types of indwelling needle in the application of radial vein puncture,Zhongwai Jiankang Wenzhai(World Health Digest),8(22):78-79(杨晓英,2011,两种型号留置针在桡静脉穿剌应用中的效果比较,中外健康文摘,8(22):78-79)
Zhang D.W.,Liu Y.H.,Li M.,and Jin H.,2016,Clinical application of CT angiography in arterial stenosis of cerebral blood supply,Zhongguo Laonianxue Zazhi(Chinese Journal of Gerontology),36(17):4376-4378(张东威,刘跃辉,李敏,金花,2016,CT血管造影在脑供血动脉狭窄检查中的临床应用,中国老年学杂志,36(17):4376-4378)
Zhu Y.H.,and Guan X.J.,2016,Comparison of coronary angiography with dual-source CT and selective coronary angiography,Shijie Linchuang Yixue(The World Clinical Medicine),10(13):214-215(朱勇华,管雪静,2016,双源CT冠状动脉血管成像与选择性冠状动脉血管造影的对比研究,世界临床医学,10(13):214-215)
Dong L.F.,Chen J.X.,and Guo L.H.,2016,The effect of different model of venous indwelling needle on the 256-slices CTcoronary angiography image quality,Shiyong Yixue Yingxiang Zazhi(Journal of Practical Medical Imaging),(1):50-53(董丽锋,陈建新,郭林红,2016,不同型号静脉留置针对256层多层螺旋ct冠状动脉成像质量的影响,实用医学影像杂志,(1):50-53)
Hua X.L.,2007,The value of intravenous indwelling needle in enhanced CT scanning,Hubei Minzu Xueyuan Xuebao(Journal of Hubei Institute for Nationalities(Medical Edition),24(2):75-76(华小丽,2007,静脉留置针在CT增强扫描中的价值,湖北民族学院学报(医学版),24(2):75-76)
Huang L.P.,and He L.Z.,2010,Effect of two different types of indwelling needle in clinical application,Zhongguo Meirong Yixue Zazhi(Chinese Journal of Aesthetic Medicine),19(S4):17(黄利平,何勒忠,2010,两种不同型号留置针在临床应用中的效果观察,中国美容医学杂志,19(S4):17)
Li H.J.,Li W.Z.,Li C.Y.,and Zhang G.H.,2006,Application of intravenous needle retention in MSCT enhancement technique of high-pressure injection,Hulixue Zazhi(Journal of Nursing Science),21(15):43-44(李华菊,李文珍,李成云,张桂华,2006,静脉留置针在多层螺旋CT高压增强注射中的应用,护理学杂志,21(15):43-44)
Li Q.,Liu Z.Y.,Wang P.,Li D.,and Gao X.M.,2011,Health education of coronary angiography with 640-slice,Zhongguo Meirong Yixue Zazhi(Chinese Journal of Aesthetic Medicine),20(S6):410(李琦,刘争扬,王萍,李冬,高秀梅,2011,640层cta冠状动脉血管造影检查的健康教育,中国美容医学杂志,20(6):410)
Lu R.,Li X.,Chen R.,Sun X.M.,Wang M.J.,and Luo Q.L.,2010,Evaluation of safety of using single-luminal intravenous needle during coronary CTA,Xiandai Shengwu Yixue Jinzhan(Progress in Modern Biomedicine),10(10):1958-1960(卢蓉,李雪,陈蓉,孙秀梅,王明菊,罗巧玲,2010,单腔静脉留置针在冠脉cta检查应用中的安全性评价,现代生物医学进展,10(10):1958-1960)
Lu Y.F.,2013,Clinical application and nursing experience of intravenous indwelling needle in children,Zhongguo Shiyong Huli Zazhi(Chinese Journal of Practical Nursing),29(S2):118(卢燕芳,2013,浅谈小儿静脉留置针的临床应用及护理体会,中国实用护理杂志,29(S2):118)
Shen X.,and Luo Y.D.,2009,Nursing in coronary arteriography by 16-slice spiral CT,Chongqing Yike Daxue Xuebao(Journal of Chongqing Medical University),34(12):1752-1754(沈霞,罗银灯,2009,16层螺旋CT冠状动脉造影检查的护理配合与体会,重庆医科大学学报,34(12):1752-1754)
Shen X.Q.,and Ma Q.X.,2009,Application of different types of introcans in coronary angiography,Hulixue Zazhi(Journal of Nursing Science),24(21):30-31(沈小清,马清秀,2009,冠状动脉血管造影中不同型号留置针的应用效果观察,护理学杂志,24(21):30-31)
Vogl T.J.,Abolmaali N.D.,Diebold T.,Engelmann K.,Ay M.,and Dogan S.,Wimmer-Greinecker G.,Moritz A.,and Herzog C.,2002,Techniques for the detection of coronary atherosclerosis:multi-detector row CT coronary angiography,Radiology,223(1):212-220
Xu M.L.,and Zhang G.M.,2013,Comparison of intravenous indwelling needle and scalp needle in CT enhanced scan,Huli Xuebao(Journal of Nursing),(6):49-50(许丽君,张桂敏,2013,静脉留置针与头皮针在CT增强扫描患者中的应用比较,护理学报,(6):49-50)
Xue F.,and Shao D.N.,2013,Application and comparison of vein detained needle and surflo winged needle in CTen hanced scan,Yiliao Weisheng Zhuangbei Zazhi(Chinese Medical Equipment Journal),34(11):70(薛芳,邵东宁,2013,静脉留置针与蝶翼针在ct增强扫描中的应用比较,医疗卫生装备,34(11):70)
Yang X.Y.,2011,Comparison of two types of indwelling needle in the application of radial vein puncture,Zhongwai Jiankang Wenzhai(World Health Digest),8(22):78-79(杨晓英,2011,两种型号留置针在桡静脉穿剌应用中的效果比较,中外健康文摘,8(22):78-79)
Zhang D.W.,Liu Y.H.,Li M.,and Jin H.,2016,Clinical application of CT angiography in arterial stenosis of cerebral blood supply,Zhongguo Laonianxue Zazhi(Chinese Journal of Gerontology),36(17):4376-4378(张东威,刘跃辉,李敏,金花,2016,CT血管造影在脑供血动脉狭窄检查中的临床应用,中国老年学杂志,36(17):4376-4378)
Zhu Y.H.,and Guan X.J.,2016,Comparison of coronary angiography with dual-source CT and selective coronary angiography,Shijie Linchuang Yixue(The World Clinical Medicine),10(13):214-215(朱勇华,管雪静,2016,双源CT冠状动脉血管成像与选择性冠状动脉血管造影的对比研究,世界临床医学,10(13):214-215)