向心性按摩联合醋酸倍他米松软膏治疗碘对比剂外渗患者的效果观察.docxVIP

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向心性按摩联合醋酸倍他米松软膏治疗碘对比剂外渗患者的效果观察

中山大学附属第八医院(深圳福田)放射科

唐学鑫刘缘湘何素娥许佩洁

通讯作者包世敏

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【摘要】目的：研究向心性按摩联合醋酸倍他米松软膏治疗碘对比剂外渗患者的效果。方法：收集2020年1月-2025年5月我科共发生碘对比剂(碘普罗胺300)外渗的患者共62例，随机分为对照组和实验组。对照组采用50%硫酸镁湿敷于患者外渗肿胀处；实验组在患者外渗肿胀处涂抹倍他米松软膏后由远心端向近心端螺旋式用力挤压揉搓外渗局部。对比两组干预前后双侧臂围差值、肿胀完全消退所需时间以及疼痛情况。结果：实验组双侧臂围差值低于对照组 (P0.05),实验组肿胀完全消退时间快于对照组(P0.01),实验组疼痛缓解情况优于对照组(P0.01)。结论：向心性按摩联合倍他米松软膏治疗可快速消除患者因碘对比剂外渗所引起的皮下组织水肿，有效减轻患肢的疼痛，且操作简便、经济实用，值得临床推广应用。

关键词：碘对比剂；外渗；硫酸镁湿敷；向心性按摩；倍他米松软膏

Effectofcentripetalmassagecombinedwithbetamilsoftcreaminpatientswithiodinecontrastextravasation

Abstract

Purpose:Toinvestigatetheeffectofcentripetalmassagecombinedwithbetamethasoneacetateointmentinthetreatmentofpatientswithiodinatedcontrastagentextravasation.Methods:Atotalof62patientswithiodinatedcontrastagent(iopromide300)extravasationadmittedtoourdepartmentbetweenJanuary2020andMay2025wereenrolledandrandomlydividedintoacontrolgroupandanexperimentalgroup.Thecontrolgroupreceived50%magnesiumsulfatewetcompressionapplied

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totheextravasationandswellingsite,whiletheexperimentalgroupwastreatedwithbetamethasoneacetateointmentappliedtotheaffectedarea,followedbycentripetalmassagewithspiralforcefulsqueezingandkneadingfromthedistaltotheproximalend.Thedifferencesinbilateralarmcircumference,thetimerequiredforcompleteresolutionofswelling,andpainlevelswerecomparedbetweenthetwogroupsbeforeandafterintervention.Results:Theexperimentalgroupshowedasmallerdifferenceinbilateralarmcircumferencecomparedtothecontrolgroup(P0.05).Thetimefor