30°体位在COPD患者行MRCP检查中的应用效果与分析
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摘要
目的探讨抬高胸腹部30°体位在慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者行磁共振胰胆管成像(magnetic resonance cholan giopancreatography,MRCP)检查中的应用价值。材料与方法比较常规平卧体位组(n=25)与30°体位组(n=45) COPD患者行MRCP检查的图像质量、检查成功率、患者完成检查时间及舒适度的差异。结果图像质量:抬高胸腹部30°体位组高于常规体位组(P<0.05)。检查成功率:常规体位检查组有6例患图像质量不能达到诊断要求,检查成功率为73%;30°体位组有3例图像质量不能达到诊断要求,检查成功率为93%,两组比较差异有统计学意义(P<0.05)。完成MRCP检查时间:常规体位组完成时间为(29.84±3.35) min,30°体位组为(21.12±2.89) min,两组比较差异有统计学意义(P<0.05)。舒适度:30°体位组舒适度高于常规体位组(P<0.05)。结论抬高胸腹部30°体位增加COPD患者肺活量及舒适度,使呼吸配合更容易,从而提高图像质量及检查成功率。
Objective: To explore the posture of MR(magnetic resonance) cholangiopancreatography examination in patients with chronic obstructive pulmonary disease(COPD). Materials and Methods: To compare the image quality, success rate, examination time and patient's comfort between two groups, 25 patients with COPD(chronic obstructive pulmonary diseases)who underwent MRCP(magnetic resonance cholangiopancreatography) in conventional position(n=25) and 45 patients with chest and abdomen raised to 30 degrees(n=45). Results:Image quality: the group of 30 degree was better than the conventional position group(P<0.05). The success rate: image quality in conventional position group could not meet the diagnostic requirements in 6 cases, and the success rate was more comfortable than the group of conventional position(P<0.05). Conclusions: The position of 30 degrees can increase patient's lung capacity and make patient feel more comfortable, and it helps save testing time, improve image quality and the success rate.
Objective: To explore the posture of MR(magnetic resonance) cholangiopancreatography examination in patients with chronic obstructive pulmonary disease(COPD). Materials and Methods: To compare the image quality, success rate, examination time and patient's comfort between two groups, 25 patients with COPD(chronic obstructive pulmonary diseases)who underwent MRCP(magnetic resonance cholangiopancreatography) in conventional position(n=25) and 45 patients with chest and abdomen raised to 30 degrees(n=45). Results:Image quality: the group of 30 degree was better than the conventional position group(P<0.05). The success rate: image quality in conventional position group could not meet the diagnostic requirements in 6 cases, and the success rate was more comfortable than the group of conventional position(P<0.05). Conclusions: The position of 30 degrees can increase patient's lung capacity and make patient feel more comfortable, and it helps save testing time, improve image quality and the success rate.
引文
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[2]Liang LL.Value of magnetic resonance cholangiopancreatography in diagnosis and differential diagnosis of biliopancreatic duct stenosis.JPrac Med Imaging,2018,19(1):81-82.梁丽丽.磁共振胰胆管成像技术对胆胰管狭窄的诊断及鉴别诊断价值研究.实用医学影像学杂志,2018,19(1):81-82.
[3]Wang L,Zhang H,Wang XC,et al.Value of 3.0 T MRcholangiopancreatography in the diagnosis of biliary obstructive diseases.Chin Remed Clin,2012,12(11):1439-1440.王乐,张辉,王效春,等.3.0 T磁共振胰胆管成像在胆道梗阻性疾病诊断中的应用价值.中国药物与临床,2012,12(11):1439-1440.
[4]Lu JZ.Nursing experience of 3.0 T MR abdominal dynamic enhanced scanning.J Nurses Training,2013,28(23):2182-2183.陆菊珍.3.0 T磁共振腹部动态增强扫描的护理体会.护士进修杂志,2013,28(23):2182-2183.
[5]Chen NJ.Effects of psychological nursing in COPD patients.Guide Chin Med,2013,1(8):329-330.陈年菊.心理护理对COPD患者的疗效影响.中国医药指南,2013,1(8):329-330.
[6]Liu P,Liu GQ,Zhang Y.Anxiety and depression in patients with chronic obstructive pulmonary emphysema during hospitalization and its influencing factors.Chin Med Herald,2016,13(2):117-120.刘萍,刘国清,张韵.慢性阻塞性肺气肿患者住院期间焦虑和抑郁现状及影响因素.中国医药导报,2016,13(2):117-120.
[7]Xia XH,Xia QS,Liu JC,et al.Value analysis of psychological and humanistic care nursing in MRI examination.Contemp Med,2016,22(23):108-108,109.曾小红,夏青霜,刘佳驰,等.心理及人文关怀护理在MRI检查中的应用价值分析.当代医学,2016,22(23):108-108,109.
[8]Niu ZX.Clinical analysis of MRCP in the diagnosis of biliary tract space-occupying.J Med Imaging,2017,27(5):861-864.牛智祥.胆道占位诊断中MRCP的应用价值临床分析.医学影像学杂志,2017,27(5):861-864.
[9]Tang Y,Zhou JX.Application of family-like nursing service model in patients undergoing enhanced magnetic resonance imaging.J Qilu Nursing,2016,22(6):17-18.唐烨,周俊霞.亲情护理服务模式在核磁共振增强成像检查患者中的应用.齐鲁护理杂志,2016,22(6):17-18.
[10]Yang P,Zhang GM,Li S.Application of respiratory training in nursing patients with enhanced liver magnetic resonance imaging.Nurs J Chin PLA,2014,31(15):44-45,48.杨萍,张桂敏,李顺.呼吸训练在肝脏核磁共振成像增强扫描患者护理中的应用.解放军护理杂志,2014,31(15):44-45,48.
[11]Liu KY,Chen Y,Liu H.Effect of breathing training on image quality of liver MRI.J Nursing,2010,17(9):36-38.刘扣英,陈园,刘虎.呼吸训练对肝脏MRI检查图像质量的影响.护理学报,2010,17(9):36-38.
[12]Xiong Y,Zhou XP,Xiao JM,et al.Diagnosis of choledocholithiasis by magnetic resonance multi-sequence examination.Radiol Prac,2013,28(10):1042-1045.熊燕,周翔平,肖建明,等.磁共振多序列检查诊断胆总管小结石.放射学实践,2013,28(10):1042-1045.
[13]Jiang QX,Su CY,Guan XP,et al.Convenience and comfort evaluation of two kinds of decompression mattresses for patients.J Nursing Admin,2013,13(7):512-514.蒋琪霞,苏纯音,管晓萍,等.两种减压床垫用于手术患者的便利性和舒适度评价.护理管理杂志,2013,13(7):512-514.
[14]Li H,Zhou L,Gou RR.Application of comfortable nursing in subconjunctival injection.Dangdai Hushi,2017,5(5):78-79.李华,周林,苟瑞锐.舒适护理在结膜下注射中的应用效果.当代护士,2017,5(5):78-79.
[15]Li XH,Shang SM.Basic Nursing.Beijing:People’s Health Publication,2006:42-43.李小寒,尚少梅.基础护理学.北京:人民卫生出版社,2006:42-43.
[16]Kuang X,Wang XY,Li Z,et al.Application of systemic desensitization therapy combined with drug intervention in magnetic resonance claustrophobia.Chongqing Med,2015,44(20):2819-2821.邝晓,王秀英,李智,等.系统脱敏疗法联合药物干预在磁共振幽闭恐惧症中的应用.重庆医学,2015,44(20):2819-2821.
[17]Zhang LH,Chen YW.Evaluation of the application of high-quality nursing intervention based on humanistic care in elderly patients with severe pneumonia.J Nurses Training,2018,33(5):419-422.张理花,陈娅薇.以人文关怀为主的优质护理干预在老年重症肺炎患者的应用评价.护士进修杂志,2018,33(5):419-422.
[18]Shi MH,Zhang Y,Ju T,et al.Progress on difficulties and measurement of nursing innovative talents training.Nursing Rehabil J,2016,15(7):633-636.石镁虹,章桦,巨婷,等.护理创新型人才培养的困境与对策研究进展.护理与康复,2016,15(7):633-636.