临床药师干预电子计算机X射线断层扫描技术对比剂用药指导的临床效果

发布时间：2018-03-31 02:20

本文选题：临床药师　切入点：对比剂　出处：《中国临床药理学杂志》2015年11期

【摘要】：目的评价临床药师干预电子计算机X射线断层扫描技术(CT)增强扫描中对比剂用药指导的效果。方法选取CT增强扫描病例1036例患者作为试验组,同期CT增强扫描956例患者作为对照组,临床药师干预试验组CT增强扫描中的对比剂用药指导,对照组给予常规对比剂用药指导,比较2组患者对比剂不良反应发生情况。结果试验组对比剂不良反应发生率为3.38%,明显低于对照组的8.58%(P0.05)。轻度反应表现为恶心、头痛、局部荨麻疹;中度反应表现为荨麻疹、胸闷、气促;重度反应主要是急诊心电图提示心肌梗死。结论临床药师参与放射科医师CT增强对比剂用药指导,为医师、患者双方提供安全、有效的对比剂用药方案,降低对比剂不良反应。
[Abstract]:Objective to evaluate the effect of clinical pharmacists on the guidance of drug use in CT enhanced scanning. Methods 1036 patients with CT enhanced scanning were selected as the trial group. At the same time, 956 cases of CT enhanced scanning were used as control group, the clinical pharmacist intervention test group was guided by contrast agent in CT enhanced scan, and the control group was guided by routine contrast agent. Results the incidence rate of adverse drug reaction of contrast agent in the trial group was 3.38, which was significantly lower than that in the control group (8.58) (P 0.05). The mild reaction was nausea, headache, local urticaria, and the moderate reaction was urticaria and chest tightness. The severe reaction was mainly acute myocardial infarction. Conclusion Clinical pharmacists take part in the guidance of CT contrast agents used by radiologists in order to provide a safe and effective regimen for both doctors and patients. Reduce adverse reaction of contrast agent.
【作者单位】：北京市顺义区医院药剂科;北京市顺义区医院放射科;
【分类号】：R814

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