在小儿MRI中减少镇静和全身麻醉的非药物干预:元分析
Jakob Thestrup1, Jane Hybschmann1, Thurid W Madsen2
1Juliane Marie Centre and Mary Elizabeth's Hospital.
Hospital pediatrics
|September 20, 2023
概括
非药物干预显著减少了儿童MRI扫描中镇静和全身麻醉的需要. 这些策略应该是接受MRI的婴儿,儿童和青少年的标准实践.
科学领域:
- 儿科放射学 儿科放射学
- 医疗成像医学成像
- 干预性放射学 干预性放射学
背景情况:
- 儿科MRI通常需要镇静或全身麻醉.
- 非药理学策略在儿科手术中越来越受欢迎.
研究的目的:
- 评估儿童MRI中减少镇静/麻醉的非药物干预措施.
- 评估对扫描时间,图像质量和患者焦虑的影响.
主要方法:
- 46项符合条件的研究的系统审查和元分析.
- 包括随机对照试验和准实验设计.
- 在主要数据库 (Ovid Medline,CINAHL,Embase,CENTRAL) 进行搜索,截至2022年10月.
主要成果:
- 非药物干预减少了儿童MRI中镇静/麻醉的需要 (RR 0.68 RCT,0.58非RCT).
- 这种影响在3-10岁的儿童中最为明显.
- 在非随机化研究中发现了显著的异质性.
结论:
- 非药物干预措施有效地减少了儿童MRI期间的镇静/麻醉使用.
- 这些方法应作为儿科MRI患者的标准护理.
- 进一步的研究可能会解决非随机研究设计中的异质性.
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