标题：肠道磁共振检查的护理干预

      作者：韩英，何月影    海南省人民医院保健中心，海南 海口 570311

      卷次： 2019年30卷15期

      【摘要】 目的 探讨肠道磁共振检查的护理干预效果。方法 回顾分析海南省人民医院 2017年 10月至2018年 11月疑有肠道肿瘤或者炎症性肠道疾病的 30例住院患者的临床资料。所有患者行肠道磁共振检查前1 d充分肠道准备，检查前 1 h口服 2.5%甘露醇溶液 2 000 mL，分四次口服(500 mL/15 min)，检查前 15 min肌注山莨菪碱 10 mg。对患者进行呼吸训练以配合检查中的屏气扫描。检查中教会患者正确配合，及时、准确地完成指令性动作。通过顺利完成检查患者例数和图像质量来评价护理干预效果。结果 30例患者经过针对性护理干预顺利完成扫描，图像质量均优良，病灶显示清晰，符合诊断要求。结论 通过针对性的精细化护理，既能提高肠道磁共振的图像质量和诊断效果，又可以保证扫描顺利完成，从而确保患者安全，提高了患者满意度。
      【关键词】 磁共振检查；肠道；护理干预；肿瘤；炎症性肠道疾病
      【中图分类号】 R472.9 【文献标识码】 A 【文章编号】 1003—6350（2019）15—2038—03

Effect of targeted nursing intervention on intestinal magnetic resonance imaging.
HAN Ying, HE Yue-ying. HealthPrevention Center, Hainan General Hospital, Haikou 570311, Hainan, CHINA
【Abstract】 Objective To investigate the effect of nursing intervention on intestinal magnetic resonance imag-ing (MRI). Methods The clinical data of 30 hospitalized patients with suspected intestinal tumors or inflammatory boweldiseases in Hainan General Hospital from October 2017 to November 2018 were retrospectively analyzed. All patients weregiven 2.5% mannitol solution 2 000 mL orally one hour before the examination, in four times (500 mL/15 min per time).Anisodamine (10 mg) was injected intramuscularly 15 minutes before the examination. Patients were given breath train-ing to cooperate with breath-hold scanning during the examination. The patients were guided to cooperate correctly andcomplete the mandatory actions in time and accurately. Nursing intervention effect was evaluated by successfully com-pleting the number of patients examined and image quality. Results Thirty patients were successfully scanned by tar-geted nursing intervention. The image quality was excellent and the focus was clearly displayed, which met the diagnos-tic requirements. Conclusion Targeted nursing intervention can not only improve the image quality and diagnostic ef-fect of intestinal magnetic resonance imaging, but also ensure the smooth completion of scanning, thus ensuring patientsafety and improving patient satisfaction.
      【Key words】 Magnetic resonance examination; Intestinal tract; Nursing intervention; Tumor; Inflammatory bow-el disease·护理·doi:10.3969/j.issn.1003-6350.2019.15.041