全程护理管理在钆塞酸二钠增强MRI检查诊断肝脏良恶性肿瘤中的应用  

Application of whole-course nursing management in gadoxetate disodium-enhanced MRI examination in the diagnosis of benign and malignant liver tumors

作　　者：费静静[1] 周玮[2] 章灵杰 严强[4] FEI Jingjing;ZHOU Wei;ZHANG Lingjie;YAN Qiang(Department of Internal Medicine,Huzhou Central Hospital in Zhejiang Province,Huzhou313000,China;Department of Radiology,Huzhou Central Hospital in Zhejiang Province,Huzhou313000,China;Department of Radiology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China;Department of Hepatobiliary Surgery,Huzhou Central Hospital in Zhejiang Province,Huzhou313000,China)

机构地区：[1]浙江省湖州市中心医院内科,浙江湖州313000 [2]浙江省湖州市中心医院放射科,浙江湖州313000 [3]浙江大学医学院附属邵逸夫医院放射科,浙江杭州310016 [4]浙江省湖州市中心医院肝胆外科,浙江湖州313000

出　　处：《中国现代医生》2020年第6期179-184,共6页China Modern Doctor

基　　金：浙江省基础公益研究计划项目(LGF19H220001);浙江省医药卫生科技计划项目(2019KY210)。

摘　　要：目的探讨全程护理管理模式在钆塞酸二钠增强MRI检查诊断肝脏良恶性肿瘤中的护理效果。方法将2016年1月~2019年1月期间我院收治的128例因肝脏肿瘤性病变行Gd-EOB-DTPA增强MRI检查的患者随机分成观察组和对照组,每组64例,观察组患者在钆塞酸二钠增强MRI检查前后接受全程护理管理模式干预,对照组接受常规护理。主要观察两组患者的重复扫描率、检查完成所需时间、图像优质率、不良反应及对比剂外渗发生率,并采用自行设计的调查问卷对两组患者的护理满意度进行调查评估。结果观察组与对照组的性别、年龄和肝脏肿瘤良恶性病理类型无显著性差异(P>0.05);接受全程护理管理模式的观察组患者的重复扫描率、不良反应及对比剂外渗发生率明显低于对照组(P<0.05),检查完成所需时间明显少于对照组(P<0.01),图像优质率及护理满意度明显高于对照组(P<0.05)。结论全程护理管理在钆塞酸二钠增强MRI检查诊断肝脏良恶性肿瘤中能够有效提高检查效率和保证图像质量,同时减少不良反应和对比剂外渗的发生,提高患者的满意度,值得临床推广。Objective To investigate the nursing effect of whole-course nursing management mode in gadoxetate disodium-enhanced MRI examination in the diagnosis of benign and malignant liver tumors.Methods A total of 128 patients who were admitted in our hospital who were given Gd-EOB-DTPA-enhanced MRI due to liver tumor lesions from January 2016 to January 2019 were randomly divided into observation group and control group,with 64 cases in each group.Patients in the observation group were given a whole-course nursing management intervention before and after gadoxetate disodium-enhanced MRI examination,and the control group was given routine nursing care.The repeated scanning rate,the time required for the examination,the image quality rate,the incidence rate of adverse reactions and the incidence of contrast agent extravasation were observed in both groups.The self-designed questionnaire was used to investigate and evaluate the nursing satisfaction of the two groups of patients.Results There were no significant differences in gender,age and benign and malignant pathological types of liver tumor between the observation group and the control group(P>0.05).The repeated scanning rate,the incidence rate of adverse reactions and the incidence rate of contrast agent extravasation in the observation group who received the whole-course nursing management mode were significantly lower than those in the control group(P<0.05).The time required for the completion of the exami nation was significantly less than that in the control group(P<0.01).The image quality rate and nursing satisfaction were significantly higher than those in the control group(P<0.05).Conclusion The whole-course nursing management can effectively improve the examination efficiency and ensure the image quality in the diagnosis of benign and malignant liver tumors by gadoxetate disodium-enhanced MRI.At the same time,it can reduce the incidence rate of adverse reactions and contrast agent extravasation,and improve patient satisfaction,which is worthy of clinical promot

关 键 词：全程护理管理 磁共振成像 钆塞酸二钠 肝肿瘤 

分 类 号：R735.7[医药卫生—肿瘤] R445.2[医药卫生—临床医学]