目的：探讨多排螺旋CT冠状动脉血管成像检查对于老年患者特殊护理的临床意义。方法：选取2014年1月-2015年3月来本院做体检的1282例老年患者，按照随机数字表法将其分为对照组和观察组，每组641例。对照组采用常规护理，观察组采用特殊护理，观察两组老年患者多排螺旋CT冠状动脉血管成像检查的结果，分析其临床意义。结果：经护理后，观察组多排螺旋CT冠状动脉血管成像检查前后老年患者心率变化显著率、屏气情况不佳率、图像质量情况较差率分别为10.1%、6.7%和8.4%，均明显低于对照组的45.4%、31.7%和30.7%，差异均有统计学意义（P<0.05）。结论：对老年患者采用特殊护理后，可以减少老年患者的检查前后心率变化显著、屏气不佳以及图像质量较差现象，确保多排螺旋CT冠状动脉血管成像检查临床诊断效果的发挥，值得临床推广。%Objective:To investigate the clinical significance of multi-slice spiral CT coronary angiography in special care for elderly patients.Method:1282 elderly patients came to our hospital for medical examination from January 2014 to March 2015 were selected and randomly divided into the control group and the observation group,641 cases in each group.The control group was given usual care,the observation group was given special care.The results of multi slice spiral CT coronary angiography in the elderly patients between the two groups were observed and its clinical significance were analyzed.Result:After nursing,the rates of heart rate variation,poor breath and poor image quality ratio in the elderly patients of observation group before and after the examination were 10.1%,6.7% and 8.4%,which were significantly lower than 45.4%,31.7% and 30.7% of the control group,the differences were statistically significant (P<0.05).Conclusion:After elderly patients with special care,can significantly reduce the phenomenon of heart rate variation,poor breath and poor image quality of elderly patients before and after examination,ensure the clinical diagnosis of multi slice spiral CT coronary angiography,is worthy of clinical promotion.
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