Clinical Observation of Diphenhydramine Combined with Prednisone in the Prevention of Iodine-containing Contrast Agent Allergic Reactions
10.6039/j.issn.1001-0408.2016.06.16
- VernacularTitle:苯海拉明联合泼尼松预防碘造影剂过敏反应的临床观察
- Author:
Lilu HU
;
Quanqing GAO
;
Zhenliang LIU
- Publication Type:Journal Article
- Keywords:
Diphenhydramine;
Prednisone;
Iodine contrast allergy;
Prevention success rate;
Safety
- From:
China Pharmacy
2016;(6):765-767
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the success rate and safety of diphenhydramine combined with prednisone in the preven-tion of iodine-containing contrast agent allergic reactions. METHODS:1 day before surgery,42 patients with positive iodine aller-gy test was given 40 mg Prednisone tablet,orally,3 times a day,50 mg diphenhydramine was given by intramuscular injection and 1 ml iodine contrast by intravenous injection(allergy test performed again)1 h before surgery. After all patients used iodine con-trast in 15 min,vascular interventional treatment was conducted if there was no bronchospasm,angioedema,leather ball sample itchy rash,hypotension,itching and other allergic reactions. Prevention success rate were observed,and the incidence of adverse re-actions was recorded. RESULTS:Prevention success rate was 90.48%,the incidence of adverse reactions was 7.14%,and it self-improved after stopping drugs. CONCLUSIONS:Diphenhydramine combined with prednisone has high success rate in the pre-vention of iodine-containing contrast agent allergic reactions,with good safety.
