Evaluation of the effect of contrast medium injection in CT enhanced examination of malignant tumor patients with standardized nursing procedure of totally implantable venous power port
10.3760/cma.j.cn211501-20240228-00446
- VernacularTitle:标准化耐高压输液港护理流程在恶性肿瘤患者CT增强检查对比剂注射中的效果评价
- Author:
Yanli PENG
1
;
Yifan WANG
;
Shuli FENG
;
Xingping TANG
;
Yuanfang LIU
;
Yanping LUO
;
Xiang ZHANG
;
Ming GAO
;
Zehong YANG
;
Hong DENG
Author Information
1. 中山大学孙逸仙纪念医院放射科，广州 510120
- Keywords:
Neoplasms;
Standardized nursing process;
Totally implantable venous power port;
Enhanced scan;
Contrast medium extravasation
- From:
Chinese Journal of Practical Nursing
2024;40(22):1705-1709
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the standardization of totally implantable venous power port of nursing process in CT enhancement and application effect of contrast medium injection, so as to provide a safer and more efficient way for contrast medium injection in CT enhanced examination for patients with malignant tumors.Methods:A non-randomized prospective study was conducted, 358 patients with malignant tumors were selected in Sun Yat-sen Memorial Hospital, Sun Yat-sen University who underwent CT enhanced examination from August 1, 2022 to July 31, 2023, 179 patients who had been implanted totally implantable venous power port were selected as the experimental group, and the standardized nursing procedure was given. The other 179 patients were the control group, using radiology routine high-pressure intravenous indwelling needle as the contrast medium access, with routine peripheral venous nursing process. The incidence of contrast medium extravasation during CT enhanced examination was observed and compared between the two groups.Results:All the patients were included. There were 85 males and 94 females, aged (55.50±11.72) years old in the control group. There were 83 males and 96 females, aged (54.50±12.24) years old in the experimental group. The incidence of contrast medium extravasation was 0 in the experimental group and 3.35%(6/179) in the control group. The difference between the two groups was statistically significant (Fisher exact probability, P<0.05). Conclusions:The application of standardized nursing procedure of totally implantable venous power port to the injection of contrast medium in CT enhanced examination of malignant tumor patients, can significantly reduce the incidence of contrast medium extravasation.
