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Xueqin Wang¹, Kun Fu¹, Junling Liu¹

¹Department of Radiology, Daping Hospital, Army Medical University (Army Medical Center of PLA), Chongqing, China.

European journal of radiology

|December 14, 2023

概括

ANMTE (适当的儿童数量,适当的学习方法,适当的适应性培训和适当的鼓励) 方法提高了儿科MRI的成功率和效率. 这种综合护理方法为接受MRI扫描的幼儿提供了更安全,更有效的替代方案.

科学领域:

儿科放射学儿科放射学
医学成像技术医学成像技术
医疗保健中的儿童心理学

背景情况:

儿童磁共振成像 (MRI) 在由于患者的焦虑和运动而实现高成功率和效率方面存在挑战.
镇静药物通常用于管理这些挑战,但它具有固有的风险,需要额外的监测.
开发非镇静剂方法对于提高儿科MRI的安全性和可访问性至关重要.

研究的目的:

评估ANMTE (适当数量的儿童,适当的学习方法,适当的适应性培训和适当的鼓励) 概念在增强儿科MRI检查方面的有效性.
为了比较使用ANMTE的MRI扫描的成功率,效率和图像质量,与3-6岁儿童的镇静和常规准备相比.

主要方法:

一项涉及150名3-6岁儿童的比较研究,分为三组:ANMTE (非镇静剂),镇静剂和常规制剂.
该ANMTE方法包括针对儿童数量,学习方法,适应性培训和鼓励的定制策略.
使用Kaplan-Meier,Log-rank和Chi-square测试进行统计分析,以比较结果.

主要成果:

该ANMTE组取得了88%的MRI检查成功率,与镇静剂组 (90%) 相比,并且明显高于常规准备组 (72%) (P=0.03).
对于ANMTE和镇静组的中位数MRI检查持续时间相似 (大约为2个小时). 10.0分钟),两者都比例行准备 (16.5分钟) (P=0.024) 更有效.
在三个组中没有观察到图像质量的显著差异 (P=0.067).

结论:

在3-6岁儿童的儿科MRI检查中,ANMTE综合护理方法是可行的和有效的.
ANMTE的成功率,图像质量和检查持续时间与镇静剂相比较,同时通过避免镇静剂的使用提供了更高的安全性.
这种方法对儿科MRI的常规临床应用有希望,提高了效率和安全性.

关键词:

孩子孩子孩子孩子综合护理服务综合护理服务磁共振检查检查磁共振检查镇静剂镇静剂是一种镇静剂.

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