摘要
目的研究脑血管造影过程中佩戴眼罩,对患者血压、心率、造影剂的用量、造影时间长短和术后焦虑情况的影响。方法选取中国人民解放军陆军总医院神经外科动脉瘤栓塞术后复查脑血管造影的患者50例,随机分配至佩戴眼罩组和不佩戴眼罩组,术前、术中对患者血压及心率进行监测,计算术中脑血管造影时间及造影剂使用量,术后通过焦虑评分量表(SAS)对患者进行焦虑评分,比较两组之间差异有无统计学意义。结果两组患者行脑血管检查前血压及心率均控制平稳,佩戴眼罩组术中血压及心率波动较小,造影时间相对用时较少,造影剂使用剂量减少,术后焦虑评分等级较低,与不佩戴眼罩组相比,差异有统计学意义(P<0.05)。结论脑血管造影过程中,佩戴眼罩可以减轻患者焦虑情绪,提高患者的配合程度,稳定血压、缩短造影时间和减少造影剂使用剂量,有助于该项检查的顺利进行。
Objective To analysis the effect of with or without eye mask for blood pressure, heart rate, the dosage of radiocontrast agent, duration of operation and anxiety after examination during the procedure of digital subtraction angiography （ DSA）. Methods Fifty patients needing to reexaminate DSA after embolization operation for cerebral aneurysm were selected, and distributed into two groups with or without eye masks. The blood pressure and heart rate were monitored before and after operation. The duration of operation was recorded and the dosage of radiocontrast agent was calculated. State - anxiety score inventory （SAS） was used to evaluate patients the state of anxi- ety. The data between two groups were compared. Results The blood pressure and heart rate were kept steady before examination. The fluctuation of blood pressure and heart rate was less obvious, the time consuming was shorter, the dosage of agent was smaller and SAS score was lower in group with eye mask, compared with group without eye mask. There was significant difference between two groups（P 〈 0.05）. Conclusion During the procedure of DSA, eye mask will be facilitated to relieve patients＇ anxious emotion, make patients more cooperating, keep blood pressure and heart rate steady, save operating time and deerease the dosage of agent and finally, promote the in- spection smoothly.
出处
《医学研究杂志》
2017年第10期101-104,共4页
Journal of Medical Research
基金
北京科技新星与领军人才培养项目(Z171100001117096)
关键词
眼罩
全脑血管造影
焦虑
Mask
Digtal subtraction angiography
Anxiety
作者简介
通讯作者：张强，电子信箱：zhangq1964@sina．com
