Abstract:

Objective To develop “clinical practice guideline（CPG） for nursing management of iodinated contrast media extravasation（ICME）” and to provide a reference for reducing the incidence and standardizing the management of ICME. Methods The CPG for nursing management of ICME strictly followed the method of developing evidence-based nursing practice guideline. The draft of this CPG was appraised according to Appraisal of Guidelines Research and Evaluation Ⅱ（AGREE Ⅱ）,and then it was finalized based on the results and suggestions of expert reviews. Results Recommendations for the constructed CPG included 4 aspects of risk factors,prevention methods,management principles,and quality improvement in ICME. Conclusion The “CPG for nursing management of ICME” was an evidence-based guideline based on the best evidence,Chinese clinical reality,and professional judg-ment,and it can provide practice bases for scientific clinical decision making by radiology and clinical medical staff.

Key words: Iodinated Contrast Media, Extravasation, Evidence-Based Nursing, Guideline

摘要：

目的 制定《含碘对比剂静脉外渗护理管理实践指南》,为降低CT检查时含碘对比剂静脉外渗发生率和规范含碘对比剂静脉外渗的管理提供参考依据。 方法 严格按照循证护理实践指南制定的方法,构建《含碘对比剂静脉外渗护理管理实践指南》草案,采用临床指南研究与评估系统目录Ⅱ对指南草案进行专家评审,根据专家评审结果和建议对指南进行修改,形成正式指南。 结果 构建的指南推荐意见涵盖含碘对比剂静脉外渗的风险因素、预防方法、处理原则、质量改进4个方面的内容。 结论 《含碘对比剂静脉外渗护理管理实践指南》是根据最佳证据、临床实际情况以及专业人员判断形成的循证指南,可为放射科及临床医护人员进行科学决策提供实践依据。

关键词: 含碘对比剂, 静脉外渗, 循证护理学, 指南