父母的存在改善了儿科MRI在没有镇静剂的情况下的成功:一项前性随机研究
Hideyuki Iwayama1, Noriko Hayata1, Mizuki Takagi1
1Department of Pediatrics, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan.
Frontiers in pediatrics
|July 8, 2025
概括
在磁共振成像 (MRI) 过程中父母的存在显著提高了幼儿 (3-6岁) 的成功率. 这种简单,安全和低成本的策略被推作为儿科MRI的第一线方法.
科学领域:
- 儿科成像学 儿科成像学
- 放射学 放射学是一门学科.
- 儿童心理学 儿童心理学
背景情况:
- 儿童MRI通常需要镇静,因为儿童无法保持静止,造成风险和增加成本.
- 存在非药理学策略,但父母存在对儿科核磁共振成效的影响还未得到充分研究.
研究的目的:
- 评估家长在3-10岁儿童中改善非镇静性MRI成功的有效性.
- 评估父母的存在是否会影响MRI完成率和图像质量.
主要方法:
- 一项前性,单中心随机对照试验与3-10岁儿童进行.
- 参与者按年龄分层 (3-6岁和7-10岁) 并随机分配在MRI期间有父母的存在或缺席.
- 核磁共振成效是由序列的完成和图像质量 (文物) 定义的.
主要成果:
- 整体MRI完成率和成功率显示,随着父母的存在 (75%对55%,P=0.25) 的改善趋势.
- 在3-6岁儿童中,父母的存在显著增加了MRI完成率 (59.1%对18.2%,P=0.012) 和整体成功率 (OR=6.50).
- 在7-10岁年龄组中没有发现显著差异. 在接种疫苗期间哭泣和兄弟姐妹数量没有影响成功.
结论:
- 父母的存在是一种安全,低成本和有效的策略,可以提高小孩子 (3-6岁) 的非镇静性MRI成功率.
- 这种干预不需要专门的资源,可以被认为是儿科MRI的第一线方法.
- 进一步的研究可能会探索不同年龄组的最佳实施策略.
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