儿童息治疗中神经刺激性国际共识的见解:扩大已知的,挑战未知的
Anna Mercante1, Harold Siden2, Justin Nathaniel Baker3
1Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Italy.
Neurology. Clinical practice
|August 13, 2025
概括
患有严重神经障碍 (SNI) 的儿童的儿科神经刺激性是常见的,并且具有挑战性. 这一国际共识为儿童息治疗 (PPC) 中的定义,评估和治疗提供了专家指导.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 神经学 神经学
- 症状管理 症状管理
背景情况:
- 儿童严重神经功能障碍 (SNI) 往往需要儿科息治疗 (PPC).
- 神经刺激性是SNI儿童的常见和显著症状,但理解和管理仍然有限.
- 缺乏以证据为基础的指导方针,阻碍了在这个人群中对神经刺激性的最佳护理.
研究的目的:
- 建立国际专家对儿科神经刺激性定义,评估,监测和治疗的共识.
- 为照顾SNI和神经刺激性儿童的临床医生制定实用指南.
- 识别儿童神经刺激性的知识缺口和未来研究领域.
主要方法:
- 一个双轮的德尔菲方法,涉及66名国际多学科专家.
- 在线调查使用5点的利克特级别来衡量专家对关键陈述的共识.
- 共识定义为参与者之间≥75%的共识.
主要成果:
- 认可55个声明,涵盖神经刺激的定义,诊断和随访.
- 开发用于诊断过程和监测协议的核心元素.
- 建议提供了药理和非药理治疗策略.
结论:
- 这种共识为医生在识别和管理SNI儿童的神经刺激性方面提供了至关重要的支持.
- 建立的框架旨在改善临床实践,并增强有关儿科神经刺激性的知识.
- 强调未得到满足的需求和研究优先事项,以推进对这些复杂患者的护理.
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