對比劑的選用：符合健保給付使用非離子性對比劑適應症者之比例

Selection of Contrast Media: A Significant Percentage of Patients Receiving CT is Compatible with the National Health Insurance Indication to Use Non-ionic Contrast Media

鄧木火(Michael Mu Huo Teng) ； 李潤川(Rheun-Chuan Lee) ； 陳名聖(Ming-Sheng Chern)

《中華放射線醫學雜誌》 22卷4期 (1997/08) Pp. 145-148

摘要

靜脈注射使用之含碘對比劑中，使用離子性對比劑所發生之不良反應遠比使用非離子性對比劑為多。我國自1996年10月起，全民健保訂出了使用非離子性對比劑之適應症，惟又規定電腦斷層檢查受檢者中只有十分之一可以獲得健保給付。本研究為了瞭解國人做電腦斷層檢查受檢者中，到底有多少受檢者符合健保規定之適應症。由本研究受檢者自填資料，66%符合健保之使用非離子性對比劑之適應症。

關鍵字

對比劑，比較研究 ； 經濟學，醫學 ； 放射線學與放射線醫師，社會經濟議題

並列摘要

Less adverse reactions were found in nonionic contrast media. Our National Health Insurance declared the indication to use nonionic contrast media effective October, 1996. But it was also declared that only 10% of patients examined for CT scan can get reimbursement for non-ionic contrast media.
The purpose of this study is to understand the percentage of patients receiving CT examination compatible with indications for use of nonionic contrast media.
From the special charts prepared from patients for CT examination, 66% of our patients are suitable for the application of nonionic contrast media.

並列關鍵字

Contrast media, comparative studies ； Economics, medical ； Radiology and radiologists, socioeconomic issues