盐酸艾司洛尔注射液在冠状动脉CTA检查中的临床应用价值的探讨

发布时间：2018-05-08 19:06

本文选题：冠状动脉CT血管造影术 + 倍他洛克　；参考：《重庆医学》2015年20期

【摘要】：目的探讨盐酸艾司洛尔注射液在冠状动脉CT血管造影术(CTA)检查中的临床应用价值。方法对临床拟诊为冠心病,心率大于70次/min且小于100次/min的100例患者,分为对照组(舌下含服酒石酸美托洛尔)和研究组(静脉推注盐酸艾司洛尔注射液),每组50例,采用64排螺旋CT进行冠状动脉CTA检查,统计检查耗时及控制心率,由两名有经验的放射科医师盲法评判他们的扫描图像。结果研究组与对照组的图像质量优良率比较,差异无统计学意义(P=0.461);研究组平均耗时(5.392±0.740)min明显短于对照组(6.051±1.019)min,差异有统计学意义(P=0.012)。结论冠状动脉CTA检查前使用盐酸艾司洛尔注射液可快速、安全、有效地降低心率,有利于患者更好、更快地完成检查,提高冠状动脉CTA图像质量。
[Abstract]:Objective to evaluate the clinical value of esmolol hydrochloride injection in coronary artery CT angiography (CTAA). Methods 100 patients with coronary heart disease whose heart rate was greater than 70 times / min and less than 100 times / min were divided into two groups: control group (sublingual metoprolol) and study group (intravenous injection of esmolol hydrochloride injection, 50 cases in each group). Coronary artery CTA was performed with 64-slice spiral CT. It was time consuming and heart rate controlled. The scan images were evaluated by two experienced radiologists by blind method. Results there was no significant difference in the excellent and good rate of image quality between the study group and the control group, and the average time consuming of the study group was 5.392 卤0.740)min, which was significantly shorter than that of the control group (6.051 卤1.019 min, P < 0.012). Conclusion the use of esmolol hydrochloride before coronary artery CTA examination is safe, rapid and effective in reducing heart rate. It is helpful for patients to complete the examination faster and improve the image quality of coronary artery CTA.
【作者单位】：重庆市急救医疗中心放射科;重庆市急救医疗中心病案室;
【分类号】：R816.2;R541.4

【参考文献】