首页|全模型迭代重组技术联合低电压和低对比剂碘摄入量及心理干预在头颈部CT血管成像中的可行性研究

全模型迭代重组技术联合低电压和低对比剂碘摄入量及心理干预在头颈部CT血管成像中的可行性研究

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目的 研究分析低电压和低对比剂碘摄入量与全模型迭代重组技术联合及心理干预在头颈部CT血管成像中的可行性.方法选取湖州市中医院2016年7月~2017年7月收治的疑为头颈部血管病变,需进行头颈部CT血管成像检查的患者44例为研究对象,随机分为对照组和实验组各22例.对照组进行30 mL对比剂碘海醇、90 kV及全模型迭代重组技术检查.实验组在此基础上给予心理干预措施,积极与患者进行交流和沟通,做好心理疏导工作,正确评估患者心理状态,增加患者的治疗信心和治疗依从性.比较2组患者的焦虑自评量表(SAS)评分、CT检查图像质量评分以及有效辐射量.结果心理干预后,增强CT检查中观察组患者的SAS评分为(35.22±4.21)分,明显低于对照组的(40.90±4.94)分,2组比较差异有统计学意义(P<0.05);实验组图像质量评分为(4.67±0.78),显著高于对照组评分(3.98±0.67)分,2组比较差异具有统计学意义(P<0.05);实验组有效辐射量为(0.83±0.05)mSv,显著低于对照组辐射量(2.89±0.14)mSv,2组比较差异具有统计学意义(P<0.05).结论低电压和低对比剂碘摄入量与全模型迭代重组技术联合及心理干预在头颈部CT血管成像中具有重要临床诊断意义,能够显著降低有效辐射量,提高图像画质,可增加患者的治疗信心和治疗依从性,提高IMR检查的准确性,提高疾病的诊断率.
Feasibility study of full model iterative recombination technique combined with low voltage and low contrast agents iodine intake and psychological intervention in CT angiography of head and neck
Objective To study and analyze the feasibility of combining low voltage and low contrast iodine intake with full model iterative recombination technique and psychological intervention in CT angiography of head and neck. Methods Selected 44 patients with head and neck vascular lesions in Huzhou Traditional Chinese Medicine Hospital from July 2016 to July 2017, who underwent CT angiography in the head and neck. They were randomly divided into control group and experimental group with 22 cases in each group. The control group was examined by 30 mL contrast medium, iodine alcohol, 90 kV and whole model iterative recombination technique. The experimental group was given psychological intervention on this basis, and actively communicate with patients, do psychological counseling work, correctly assess the patient's psychological state, and increase the patient's confidence in treatment and treatment compliance. The Self-rating Anxiety Scale (SAS) score, CT image quality score and effective radiation were compared between the 2 groups. Results The image quality score of the experimental group was (4.67±0.78), significantly higher than that of the control group, and the score was (3.98±0.67) points, with statistical difference (P<0.05). The effective radiation amount of the experimental group was (0.83±0.05) mSv, significantly lower than that of the control group, and the radiation amount was (2.89±0.14) mSv, with statistical difference (P<0.05). The iodine intake of the contrast group in the experimental group was significantly less than that in the control group, with statistical difference (P<0.05). Conclusion Low voltage and low contrast iodine intake and full model iterative reconstruction technique combined with psychological intervention and has important clinical significance in the diagnosis of head and neck vascular imaging CT, can significantly reduce the effective radiation, improve the image quality, can increase the confidence in the treatment and the treatment compliance of patients, improve the accuracy of IMR examination, improve disease the diagnostic rate, worthy of promotion.

low voltagelow contrast iodine intakefull model iterative reorganizationpsychological interventionCT angiography

杨香华、李盛利、夏毅

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湖州市中医院 门诊放射科,浙江 湖州 313000

低电压 低对比剂碘摄入量 全模型迭代重组 心理干预 CT血管成像

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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