| 田爽,韩小乐,孔祥闯,雷子乔,余建明,李翠玲.新生儿床旁X射线摄影辅助器的临床应用[J].中华放射医学与防护杂志,2023,43(4):297-300 |
| 新生儿床旁X射线摄影辅助器的临床应用 |
| Clinical application of bedside X-ray photography assistor in neonates |
| 投稿时间：2022-11-22 |
| DOI：10.3760/cma.j.cn112271-20221122-00455 |
| 中文关键词: 床旁X射线 辐射剂量 新生儿 防护 |
| 英文关键词:Bedside X-ray Radiation dose Neonate Protection |
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| 中文摘要: |
| 目的 探讨新生儿床旁摄影中应用床旁X射线摄影辅助器(专利号:202023219898.1)的临床应用价值。方法 选择2021年4月至2022年2月在华中科技大学同济医学院附属协和医院新生儿重症监护病房(NICU)拟行床旁胸片摄影的180例患儿为研究对象,根据是否应用床旁X射线摄影辅助器,分为两组:对照组90例(男48例,女42例),年龄(3.3±2.0) d (0~10 d),按常规工作流程对患儿胸部进行摄影;试验组90例(男50例,女40例),年龄(3.1±2.2) d (0~12 d),采用床旁摄影防护和体位固定装置对患儿胸部进行摄影。比较两组患者检查所用时间、重拍率及图像质量。结果 试验组诊断医师评分及患儿舒适度评分均高于对照组,差异具有统计学意义(t=3.98、3.82,P＜0.001)。试验组成功率高于对照组,差异具有统计学意义(χ2=7.84,P＜0.05)。试验组检查平均耗时较对照组,差异无统计学意义(P>0.05)。结论 在新生儿床旁摄影中应用床旁X射线摄辅助器能够在不显著增加检查时间的情况下,显著提高检查成功率和图像质量,降低患儿辐射剂量,值得临床应用和推广。 |
| 英文摘要: |
| Objective To assess the clinical application of bedside X-ray photography assistor (Patent No. 202023219898.1) in neonatal bedside photography.Methods From April 2021 to February 2022, a total of 180 pediatric patients were selected who underwent bedside chest X-ray photography in neonatal intensive care unit (NICU) of Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology. These patients were divided into contrpol group, consisting of 48 males and 42 females aged at (3.3 ±2.0) d (0-10 d), and experimental group, including 50 males and 40 females aged (3.1±2.2) d (0-12 d). For chest photography, routine workflow was followed in the control group while in experimental group bedside photography protection and body position fixing device was used. The examination time, reshoot rate and image quality were compared between the two groups.Results The diagnostic physician score and patient comfort score in the experimental group were higher than those in the control group, with statistically significant differences (t = 3.98, 3.82, P < 0.001). The success rate in the experimental group was higher than that in the control group, with statistically significant difference (χ2= 7.84, P＜ 0.05). The average time of examination in the experimental group was not significantly different from in the control group (P>0.05 ).Conclusions The application of bedside X-ray photography assistor in neonatal bedside photography can significantly improve the success rate and image quality and reduce the radiation dose to pediatric patients without significantly increased examination time, which is worthy of clinical application and promotion. |
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