提升站立腰椎側位攝影之安全性

Increasing Patient Safety for Standing Lateral Lumbar Radiographs

郭光華(Guang-Hua Guo) ； 林佳美(Chia-Mei Lin) ； 鄭文傑(Wen-Jie Cheng) ； 李國樑(Kuo-Liang Lee) ； 魏一虹(Yi-Hung Wei) ； 鐘正國(Cheng- Kuo Chung) ； 陳建銘(Chien-Ming Chen) ； 洪建福(Chien-Fu Hung)

《臺灣醫事放射期刊》 1卷1期 (2012/11) Pp. 44-48

https://doi.org/10.6717/JTMRT.201211_1(1).0007

摘要

無論病患做任何檢查，病患的安全是最重要的。因此，當行動不方便的病患要做X光檢查時，放射師們都會請病患躺著做檢查。除非診斷需要，要判斷病患站著時腰椎受壓迫時是否椎間盤突出或者是退化，以及開完刀後評估腰椎受壓迫的情形，必需站立做腰椎側位攝影。對於那些行動不方便的人給予握把支撐，但還是因為病患不穩而晃動造成影像模糊，甚至於有可能造成病患的跌倒。為了避免病患晃動以及提升病患安全，本次研究使用輔助器(椅子)來幫助病患，方法分對照組以及實驗組兩組數據來做比較。對照組收集328位病患，其中男性157人，女性171人，年齡42歲至86歲，平均年齡為67歲，讓病患採用站姿檢查，總共有124人需要家屬協助，所占的比例是37.8%，其中有10張影像模糊，影像模糊比例為3.1%；實驗組收集346位病患，其中男性166人，女性180人，年齡44歲至89歲，平均年齡為65歲，讓病患採用坐姿檢查，總共有1人需要家屬協助，所占的比例是0.3%，其中有1張影像模糊，影像模糊比例為0.3%。確實提高了病患的穩定度不易晃動，不僅提高了影像品質，也確保了病患的安全。

關鍵字

腰椎側位攝影 ； 輔助器 ； 病患安全

並列摘要

Patient safety is of utmost importance during an examination. For patients with physical disabilities, the radiographer often takes radiographs with the patient lying down. However, there are clinical indications for a standing lateral lumbar radiograph, such as the assessment for herniated discs or degeneration in compression fractures or post-operative lumbar radiographs assessing degrees of compression. The risk of falls and blurred images during a standing lumbar radiograph persist despite holding rails. This case-control study utilizes a chair as an assistive device for obtaining lateral lumbar radiographs and compare with traditional standing method. In the control group (standing), 328 patients were enrolled (male 157, female 171, age range 42 to 86 years old, mean age 67 years old). There were 124 patients (37.8%) requiring assistance of the caregiver and 10 images (3.1%) were blurred. In the study group (sitting), 346 patients were enrolled (male 166, female 180, age range 44 to 89 years old, mean age 65 years old). One patient (0.3%) required the assistance of the caregiver and 1 image (0.3%) was blurred. By utilizing a chair to lateral lumbar radiographs, the safety of the patient assured whilst image quality is improved.

並列關鍵字

lateral lumbar radiograph ； assistive device ； patient safety