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儿科放射治疗制剂:一个范围审查

Sam Y C Chan¹, Kelvin C K Liu¹, Jerry C F Ching¹

¹Department of Health Technology and Informatics, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China.

Chinese clinical oncology

|March 13, 2025

概括

儿童放射治疗准备策略对于减少全身麻醉 (GA) 或镇静需求至关重要. 增强的治疗前支持和技术可以改善患者的体验,并减少GA在儿科放射治疗中的依赖.

科学领域:

在瘤学瘤学.
儿科医学儿科医学
辐射疗法辐射疗法

背景情况:

儿科放射治疗 (RT) 对需要保持静止的年轻患者构成挑战,往往导致全身麻醉 (GA) 或镇静.
GA/镇静含有风险,包括呼吸和神经认知方面的副作用,成本增加和资源紧张.
准备策略旨在通过提高患者的理解,合作和舒适性来减少GA的依赖.

研究的目的:

对儿科RT准备策略进行范围审查.
识别服务缺口并评估现有方法的有效性.
探索改善儿科RT准备的机会.

主要方法:

从2000年到2023年,对文献进行范围审查.
搜索的数据库:PubMed,Embase,Scopus,ScienceDirect. 这些数据库的搜索内容包括:
包括详细介绍准备服务的研究;数据提取侧重于干预,结果和差距.

主要成果:

593篇论文中有73篇符合纳入标准;24%的人指出患者/护理人员面临的焦虑等挑战.
46%的儿科患者 (<21岁) 需要GA/镇静治疗RT (60%为<3岁,37%为>3岁).
新兴的策略 (VR,游戏治疗) 是有前途的,但在多学科合作和专业设施方面存在差距.

结论:

对于儿科RT,迫切需要加强准备策略.
治疗前的支持,游戏化,先进技术和专业设施可以改善体验.
这些改善可能会减少对GA/镇静的依赖,用于儿科放射治疗.

关键词:

儿科瘤学儿科瘤学这是一个多学科的方法.儿科麻醉儿科麻醉辐射治疗疗法辐射治疗疗法放射治疗制剂 (RT制剂) 的使用

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