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[摘要] 目的 探討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。
[关键词] 全程护理管理;磁共振成像;钆塞酸二钠;肝肿瘤
[Abstract] 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
[关键词] 全程护理管理;磁共振成像;钆塞酸二钠;肝肿瘤
[Abstract] 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