婴儿,儿童和青少年的感觉神经传导研究 - 一个更新
Tom Frenzel1, Anne-Katrin Baum1, Hardy Krause2
1Dept. of Neurology, Otto-von-Guericke University, Magdeburg, Germany.
Clinical neurophysiology practice
|February 8, 2024
概括
儿童的感觉神经传导研究 (NCS) 不会受到镇静的影响,改善诊断质量. 目前的儿科NCS数据显示30年来没有显著变化,技术因素的影响更大.
科学领域:
- 儿科神经学 儿科神经学
- 电子生理学 电子生理学
- 临床神经生理学 临床神经生理学
背景情况:
- 由于合作问题,儿童的神经导电研究 (NCS) 具有挑战性.
- 运动NCS不受镇静的影响,但在镇静下感官NCS数据是有限的.
研究的目的:
- 为了确定感官NCS是否受到儿童疼痛座位的影响.
- 将当前的儿科NCS数据与20世纪90年代的历史研究进行比较.
主要方法:
- 在全身麻醉下对182名健康儿童 (1-18岁) 进行中枢和外围神经的感觉NCS.
- 47名儿童的子组也接受了NCS,没有 analgosedation进行比较.
主要成果:
- 感觉NCS参数 (SNAP振幅,NCV) 没有受到米达佐拉姆或普罗波的显著影响.
- 表面神经SNAP振幅和NCV,以及中枢神经SNAP振幅,没有显著的年龄依赖 (1-18岁).
- 中间神经感官NCV显示年龄相关的增加.
结论:
- 疼痛静止适用于儿童的诊断感官NCS,提高诊断质量.
- 当代儿科感官NCS数据显示,三十年来没有显著的世俗趋势;技术变化更具影响力.
- 该研究为大型儿科队列提供了规范性感官NCS值.
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