麻醉剂选择对儿童听觉脑干反应测试的影响:系统性审查
Quan Lu1, Loga Iyer1, Surbhi Srinivas1
1Northeast Ohio Medical University, College of Medicine, 4209 SR-44, Rootstown, OH, 44272, USA.
International journal of pediatric otorhinolaryngology
|January 8, 2026
概括
选择适合儿童听觉脑干反应 (ABR) 测试的麻醉是关键. 静脉输入的普罗波提供了有效的镇静,对ABR结果的影响最小,尽管需要更多的研究.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 神经生理学 神经生理学
- 听力学 听力学是指听力学.
背景情况:
- 听觉脑干反应 (ABR) 测试对于诊断儿童听力损失至关重要.
- 对于儿科患者的ABR测试,通常需要麻醉,以确保患者的合作和数据的准确性.
- 麻醉剂的选择和施用途径可能会影响ABR测试结果.
研究的目的:
- 批判性地评估有关麻醉剂和小儿ABR测试的施用途径的现有文献.
- 评估不同麻醉剂对成功镇静和ABR波形结果的影响.
- 为了确定最佳的麻醉策略可靠的ABR测试在儿童中.
主要方法:
- 在PubMed,Cochrane和Web of Science进行了全面的文献搜索.
- 关键词包括"听觉脑干反应"",麻醉"",儿科"",sevoflurane"和"听力损失".
- 研究被选为麻醉剂和儿童ABR测试的相关性,与非英语和无关研究排除在外.
主要成果:
- 包括24项涉及6053名儿科患者的研究.
- 虽然一些麻醉剂没有显著的波形差异,但与非麻醉状态相比,其他一些麻醉剂表现出改变.
- 静脉输入的普罗波和鼻内德克斯梅德托米丁在镇静中显示出有效性,而赛沃兰可能导致更多的虚假阳性听力损失诊断.
结论:
- 对于儿科ABR测试,使用各种麻醉剂和施用途径,对镇静和ABR波形有不同的影响.
- 静脉输入的普罗波似乎对镇静有效,对ABR结果的影响较小.
- 需要进行进一步的研究,以建立儿童ABR测试中麻醉选择的最终指导方针.
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