国际儿科耳鼻喉学小组 (IPOG) 关于儿童静脉检测的共识
A Coudert1, J R Brodsky2, I Dhooge3
1Department of Pediatric Otolaryngology, Hôpital Femme Mere Enfant, Hospices Civils De Lyon - Université Claude Bernard Lyon 1, Lyon, France.
The Laryngoscope
|May 15, 2025
概括
这项研究建立了关于儿科前庭检测的共识指南. 关键建议包括视频头脉冲测试 (vHIT) 和非专家团队和年幼儿童的宫VEMP,以及专家团队和年长儿童的扩展测试.
科学领域:
- 儿科门评估 儿科门评估
- 听力学和垂体科学 听力学和垂体科学
背景情况:
- 缺乏标准化的儿科前庭检测协议导致临床实践的变化.
- 评估儿童前庭功能现有的方法在专家和非专家中心之间有很大的差异.
研究的目的:
- 为了建立一个共识的指导方针,对于最小的儿科前庭检测.
- 为专家和非专家中心提供建议,进行儿科前庭评估.
主要方法:
- 使用了经过修改的Delphi过程,涉及21名国际儿科前庭专家.
- 为了达成共识,进行了三轮专家意见.
- 超过80%的参与者将共识定义为同意.
主要成果:
- 对于非专家团队,最低限度的测试包括侧通道视频头脉冲测试 (vHIT),使用远程摄像头和骨传导宫VEMP.
- 对于专家团队来说,测试1岁的孩子需要侧面通道vHIT和骨传导宫VEMP.
- 对于专家团队测试4岁儿童,最低测试包括所有通道的vHIT,宫和眼睛VEMP (骨或空气导通) 和旋转椅.
结论:
- 这一国际共识为可比,年龄依赖的儿科前置检测协议提供了一个框架.
- 这些指导方针旨在促进合作,并为新的儿科前庭小组制定最低标准.
- 视频头部脉冲测试 (vHIT) 和骨传导中的宫VEMP (cVEMP) 被确定为儿童的关键测试.
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