膀胱Mp-MRI差异性专门规范化准备方案对图像质量及患者憋尿耐受度、满意度的影响  

Effects of Bladder Mp-MRI Differential Special Standardized Preparation Program on Image Quality and Patients'Tolerance to Holding Urine and Satisfaction

作　　者：张航 赵雷[1] 白菁 王元玲[1] 孙顺美 ZHANG Hang;ZHAO Lei;BAI Jing;WANG Yuanling;SUN Shunmei(The First Affiliated Hospital of Kunming Medical University,Kunming 650032,China;不详)

机构地区：[1]昆明医科大学第一附属医院,云南昆明650032

出　　处：《中外医学研究》2024年第7期143-147,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2021年昆医大附一院护理科研基金项目(2021HL02Z)。

摘　　要：目的:研究膀胱多参数磁共振成像(multi-parametric magnetic resonance imaging,Mp-MRI)差异性专门规范化准备方案对图像质量及患者憋尿耐受度、满意度的影响。方法:选取2020年9月—2022年9月于昆明医科大学第一附属医院申请膀胱Mp-MRI检查的120例患者作为研究对象,将其以电脑编号随机法分为A组(n=30)、B组(n=30)、C组(n=30)、D组(n=30)。A组检查前2 h排尿后禁水禁尿;B组检查前2 h排尿后禁尿,检查前饮温开水500 mL;C组检查前1 h排尿后禁尿,检查前饮温开水500 mL;D组仅嘱憋尿不做具体要求。比较四组膀胱充盈度、图像质量、憋尿耐受度及检查服务满意度。结果:A组、D组、C组、B组膀胱容积呈逐渐升高趋势,差异有统计学意义(F=15.232,P<0.001);B组膀胱壁过薄发生率高于A组、C组、D组,差异有统计学意义(χ^(2)=37.267,P<0.001);C组运动伪影低于A组、B组、D组,差异有统计学意义(χ^(2)=17.512,P<0.001);C组憋尿总耐受率高于A组、B组、D组,差异有统计学意义(χ^(2)=8.640,P<0.001);C组检查服务总满意率高于A组、B组、D组,差异有统计学意义(χ^(2)=13.043,P<0.001)。结论:检查前1 h排尿后禁尿、检查前饮温开水500 mL的方案应用于膀胱Mp-MRI检查中的效果较佳,可在获得满意膀胱充盈度的同时确保图像质量,提高患者憋尿耐受度及检查服务满意度。Objective:To study the effects of different specialized standardized preparation programs for bladder multi-parameter magnetic resonance imaging(Mp-MRI)on image quality and patients'tolerance to holding urine and satisfaction.Method:A total of 120 patients who applied for bladder Mp-MRI in the First Affiliated Hospital of Kunming Medical University from September 2020 to September 2022 were selected as the study objects,they were divided into group A(n=30),group B(n=30),group C(n=30)and group D(n=30)by computer numbering method.Group A was forbidden to urinate with water and urine for 2 h before examination;group B was forbidden to urinate 2 h before examination,and drank 500 mL of warm water before examination;group C was forbidden to urinate after 1 h before examination,and drank 500 mL of warm water before examination;group D only asked to hold urine without specific requirements.The degree of bladder filling,image quality,degree of bladder tolerance and service satisfaction were compared among four groups.Result:The bladder volume of group A,group D,group C and group B showed a gradually increasing trend,and the difference was statistically significant(F=15.232,P<0.001);the incidence of bladder wall thinness in group B was higher than those in group A,group C and group D,the difference was statistically significant(χ^(2)=37.267,P<0.001);the motion artifacts in group C were lower than those in group A,group B and group D,the difference was statistically significant(χ^(2)=17.512,P<0.001);the total tolerance rate of group C was higher than those of group A,group B and group D,the difference was statistically significant(χ^(2)=8.640,P<0.001);the total satisfaction rate of inspection service in group C was higher than that in group A,group B and group D,the difference was statistically significant(χ^(2)=13.043,P<0.001).Conclusion:The program of incontinence after urination 1 h before examination and 500 mL of warm water before examination has a good effect in bladder Mp-MRI examination,which can not only obtai

关 键 词：多参数磁共振成像 膀胱充盈度 舒适度 图像质量 满意度 

分 类 号：R737.14[医药卫生—肿瘤]