The evaluation of two different nursing methods after iodine contrast agent extravasation through wrist radial vein channel

JIANG Hong; XIAO Jin-li; FAN Zhan-ming

Abstract：Objective To compare with wet magnesium sulfate and ice packs and to evaluate the effect of Hirudoid com‐bine with artificial manipulation and ice packs in those patients with iodinated contrast extravasation through radial vein channel .Methods Eighty‐four patients with iodinated contrast extravasation through radial vein channel after accepted coronary CT angiography were enrolled in this study .Those patients were divided into experimental group and convention‐al group (42 cases in each group) .The experimental group was treated with Hirudoid combine with artificial manipulation and ice packs ,and the conventional group underwent wet magnesium sulfate and ice packs .In each group ,patients were divided into light and heavy groups according to the swelling area .And then ,the effects of two nursing interventions were compared in each group .Results After 48hrs ,in the experimental group ,the cure rate was 95 .2% (40/42) ,and the re‐maining two cases recovered after 72 hrs .In conventional group ,the cure rate was 73 .8% (31/42) ,and the remaining 11 cases recovered after 96 hrs .No significant difference was found between the two mild subgroups ,but significantly differ‐ence was found between the two severe subgroups ( P < 0 .05) .Conclusion Hirudoid combine with artificial manipulation and ice packs can effectively treat the local tissue damage and pain caused by iodinated contrast extravasation through radial vein channel .Especially ,in severe extravasation ,the effect of recovery time ,skin damage and hand and wrist function was much better than wet magnesium sulfate and ice packs .