The Value of Intravenous Iodinated Contrast Media Pretesting

本文主要目的在研究經靜脈注射含碘顯影劑檢查前的微量測試，是否可減少因含碘顯影劑所引起之不良反應機率。收集2005年11月至2006年6月間至本科接受注射含碘顯影劑檢查之患者共3315例，將所有患者分為有做含碘顯影劑微量測試及未做測試兩組。有做含碘顯影劑微量測試的人員共有2173人，其中在測試時即有不良反應者為7人，但只有1人繼續做檢查，檢查後未發生不良反應；本組繼續接受檢查者共有2167人，其中發生不良反應者有36人(1.66%)。未做測試的人員共有1142人，檢查中發生不良反應者有19人(1.66%)。分析兩組患者注射含碘顯影劑後發生不良反應的機率；結果顯示有做含碘顯影劑微量測試及未做測試兩組並無明顯差距（P值＝0.997）。

關鍵字

含碘顯影劑；檢查前測試；不良反應

並列摘要

The purpose of this study was to assess the efficacy of intravenous iodinated contrast media pretesting and to determine whether pretesting can reduce the incidence of adverse reactions caused by administration of iodinated contrast media. We collected data on 3315 patients who had received injections of iodinated contrast media in our department from November 2005 to June 2006. The patients were divided into two groups: those in whom pretesting was performed and 1142 patients in whom pretesting was not performed. The incidence of adverse reactions after intravenous contrast media administration (including ionic and nonionic iodinated contrast media) was recorded and analyzed. In the 2173 patients with pretesting, 7 had adverse reactions during pretesting and only 1 proceeded to complete the study. This patient did not have an adverse reaction after the study. Adverse reactions occurred in 36 (1.66%) of the 2167 patients who underwent pretesting. In the 1142 patients without pretesting, adverse reactions occurred in 19 (1.66%) of these patients. The results showed no statistical difference between the two groups (p = 0.997). Pretesting patients for adverse reactions to intravenous iodinated contrast media does not decrease the incidence of peri- and postprocedure adverse reactions.

並列關鍵字

iodinated contrast media ； ionic ； nonionic ； pretesting ； adverse reaction

國際替代計量

The Value of Intravenous Iodinated Contrast Media Pretesting

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