首页|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

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

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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(x2=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(x2=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(x2=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(x2=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.
Effects of Bladder Mp-MRI Differential Special Standardized Preparation Program on Image Quality and Patients'Tolerance to Holding Urine and Satisfaction
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(x2=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(x2=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(x2=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(x2=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 obtain satisfactory bladder filling degree,but also ensure image quality and improve patients'tolerance to holding urine and examination service satisfaction.

Multi-parametric magnetic resonance imagingBladder filling degreeComfort levelImage qualitySatisfaction

张航、赵雷、白菁、王元玲、孙顺美

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昆明医科大学第一附属医院 云南 昆明 650032

多参数磁共振成像 膀胱充盈度 舒适度 图像质量 满意度

昆医大附一院护理科研基金(2021)

2021HL02Z

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(7)
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