PDCA管理法对CT增强扫描注射碘对比剂外渗后并发症的影响研究

中华养生保健 ›› 2022, Vol. 40 ›› Issue (13): 19-21.

PDCA管理法对CT增强扫描注射碘对比剂外渗后并发症的影响研究

刘庆¹, 刘琳琳², 林娟³, 姜虹¹, 周丽金⁴, 王敏⁵

1.上海市同仁医院急诊科,上海,200335;
2.上海市同仁医院外科监护室,上海,200335;
3.上海市同仁医院PICC门诊,上海,200335;
4.上海市同仁医院急诊抢救室,上海,200335;
5.上海市同仁医院CT室,上海,200335

出版日期:2022-07-01 发布日期:2022-07-01
作者简介:刘庆（1973.2-）,女,汉族,籍贯：上海市,本科,副主任护师,研究方向：急诊急救护理。

Effects of PDCA Management on Complications after Injection of Iodine Contrast Agent Extravasation in CT Enhanced Scanning

LIU Qing¹, LIU Linlin², LIN Juan³, JIANG Hong³, ZHOU Lijin⁴, WANG Min⁵

1. Department of Emergency, Shanghai Tongren Hospital, Shanghai, 200335, China;
2. SICU, Shanghai Tongren Hospital, Shanghai, 200335, China;
3. PICC Clinic, Shanghai Tongren Hospital, Shanghai, 200335, China;
4. Emergency Room, Shanghai Tongren Hospital, Shanghai, 200335, China;
5. CT Room, Shanghai Tongren Hospital, Shanghai, 200335,China

Online:2022-07-01 Published:2022-07-01

摘要/Abstract

摘要： 目的探讨戴明循环（plan-do-check-act,PDCA）管理法对减少CT增强扫描注射碘对比剂外渗后并发症的效果。方法选择2020年6月~2021年6月在上海市同仁医院行CT增强扫描注射碘对比剂的外周静脉置管患者220例作为研究对象,按照随机数表法分为对照组与试验组,每组110例。对照组实施常规护理管理,试验组实施PDCA管理法。比较两组患者碘对比剂的渗漏率、渗漏量及外渗后不良反应、患者满意度。结果试验组渗漏率及渗漏量均明显低于对照组,且试验组渗漏程度主要为轻度,而对照组出现了大量中重度病例,差异有统计学意义（P<0.05）;试验组碘对比剂外渗后不良反应发生率明显低于对照组,差异有统计学意义（P<0.05）;试验组患者满意度高于对照组,差异有统计学意义（P<0.05）。结论 PDCA管理法对减少CT增强扫描注射碘对比剂外渗后并发症的效果显著,其可有效降低碘对比剂外渗后不良反应发生率,减少渗漏量,从而保证了CT增强扫描的安全。

关键词: PDCA管理法, 碘对比剂外渗, 并发症, 造影剂, 满意度, 增强扫描

Abstract: Objective To explore the effect of plan do check act （PDCA） management on reducing the complications after iodine contrast agent extravasation in CT enhanced scanning. Methods 220 patients with peripheral venous catheterization injected with iodine contrast agent in CT enhanced scanning at Department of Radiology, Shanghai Tongren Hospital from June 2020 to June 2021 were selected and randomly divided into control group and experimental group. Each group contained 110 patients. Routine nursing management was implemented in the control group and PDCA management was carried out in the experimental group. The leakage rate of iodine contrast agent, leakage volume, adverse reaction and patient satisfaction were compared between the two groups. Results The leakage rate and volume of the experimental group were significantly lower than those of the control group. And the leakage of the experimental group was mainly mild, while there were a large number of moderate and severe cases in the control group. The difference was statistically significant （P<0.05）. The incidence of adverse reactions after extravasation of iodine contrast agent in the experimental group was significantly lower than that in the control group （P<0.05）. The patient satisfaction in the experimental group was higher than that in the control group, which showed significant difference in statistics （P<0.05）. Conclusions PDCA management showed significant effects on reducing the complications after iodine contrast agent extravasation in CT enhanced scanning. It can effectively reduce the incidence of adverse reactions after iodine contrast agent extravasation and r the amount of leakage, so as to ensure the safety of CT enhanced scanning.

Key words: PDCA management, iodine contrast agent extravasation, complications, contrast agent, satisfaction, enhanced scanning

中图分类号:

R473

刘庆, 刘琳琳, 林娟, 姜虹, 周丽金, 王敏. PDCA管理法对CT增强扫描注射碘对比剂外渗后并发症的影响研究[J]. 中华养生保健, 2022, 40(13): 19-21.

LIU Qing, LIU Linlin, LIN Juan, JIANG Hong, ZHOU Lijin, WANG Min. Effects of PDCA Management on Complications after Injection of Iodine Contrast Agent Extravasation in CT Enhanced Scanning[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(13): 19-21.

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