关于接受 CT 和 MRI 检查的儿童和老年患者麻醉镇静恢复和起效时间的 Meta 分析研究。

IF 0.7 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Biomedical Papers-Olomouc Pub Date : 2024-11-01 DOI:10.5507/bp.2024.034
Qiong Zhao, Fei Meng, Huimei Han, Lili Han
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引用次数: 0

摘要

计算机断层扫描(CT)和磁共振成像(MRI)是重要的诊断方式,需要患者长时间保持不动,有时会使用麻醉来提高舒适度和图像质量。该研究比较了右美托咪定和异丙酚在缩短接受 CT 和 MRI 手术的儿童和老年患者的恢复时间和镇静起效方面的作用。该研究对 15 项研究进行了荟萃分析,评估了右美托咪定和异丙酚在儿童和老年患者进行 CT 和 MRI 时的恢复时间、镇静开始时间和镇静失败情况。研究表明,麻醉明显提高了患者的依从性,减少了 CT 和 MRI 的运动伪影(P2=94%)。荟萃分析表明,对照组镇静开始的平均差(MD)明显更快(P2=96%)。研究表明,右美托咪定和异丙酚麻醉可通过减少运动伪影来改善 CT 和 MRI 手术中的患者图像质量。右美托咪定比丙泊酚更快使人镇静,但在镇静持续时间上没有观察到显著差异。
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Meta-analysis study on anesthetic sedation recovery and onset times in pediatric and elderly patients undergoing CT and MRI.

Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are crucial diagnostic modalities that require patients to remain immobile for extended periods, with anesthesia sometimes used for comfort and image quality enhancement. The study compares dexmedetomidine and propofol in reducing recovery time and sedation onset in pediatric and elderly patients undergoing CT and MRI procedures. A meta-analysis of fifteen studies assessing recovery time, sedation onset, and failed sedation between dexmedetomidine and propofol in pediatric and elderly patients during CT and MRI was conducted. The study indicated that the administration of anaesthesia markedly improved patient compliance and reduced motion artefacts in both CT and MRI (P<0.00001, I2=94%). The meta-analysis indicated that the mean difference (MD) in the onset of sedation was significantly faster in the control group (P<0.00001, I2=96%). The study reveals that dexmedetomidine and propofol anesthesia can improve patient image quality during CT and MRI procedures by reducing motion artefacts. Dexmedetomidine sedated people more quickly than propofol, but no significant differences in sedation duration were observed.

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来源期刊
Biomedical Papers-Olomouc
Biomedical Papers-Olomouc MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.30
自引率
0.00%
发文量
74
审稿时长
6-12 weeks
期刊介绍: Biomedical Papers is a journal of Palacký University Olomouc, Faculty of Medicine and Dentistry, Olomouc, Czech Republic. It includes reviews and original articles reporting on basic and clinical research in medicine. Biomedical Papers is published as one volume per year in four issues.
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