Gergin Özlem Öz, Pehlivan Sibel Seckin, Erkan İbrahim, Bayram Adnan, Aksu Recep, Görkem Süreyya Burcu, Biçer Cihangir, Yıldız Karamehmet
Department of Anaesthesiology and Reanimation, Medical Faculty, Erciyes University, Kayseri 38039, Turkey.
Department of Anaesthesiology and Reanimation, Medical Faculty, Erciyes University, Kayseri 38039, Turkey.
Explore (NY). 2023 Jul-Aug;19(4):600-606. doi: 10.1016/j.explore.2023.01.001. Epub 2023 Jan 7.
Magnetic resonance imaging examinations frequently cause anxiety and fear in children. The objective of this study was to investigate the effects of listening to music sound, the mother's voice, and sound isolation on the depth of sedation and need for sedatives in pediatric patients who would undergo MRI.
Ninety pediatric patients aged 3 to 12 years who were planned for imaging in the MRI unit were randomly assigned to isolation group (Group I), musical sound group (Group II), and mother's voice group (Group III). We evaluated patients' anxiety and sedation levels via the Observer's Assessment of Alertness/Sedation (OAA/S) RESULTS: Heart rate, oxygen saturation, OAA/S, and Ramsey scores during the procedure were not significantly different among the groups (p>0.05). The mean amount of propofol and total propofol consumption was statistically lower in the mother's voice group than in the isolation and music sound groups (p<0.001). Mean propofol amount and total propofol consumption were not significantly different in isolation and music sound groups (p>0.05). No difference was found between the groups regarding the time it took for the patients' Modified Aldrete score to reach 9 (p>0.05).
In pediatric patients, listening to the mother's voice during MRI decreased the total sedative requirement consumed without increasing the depth of sedation.
磁共振成像检查经常会引起儿童的焦虑和恐惧。本研究的目的是调查听音乐声、母亲的声音以及隔音对接受磁共振成像检查的儿科患者镇静深度和镇静剂需求的影响。
计划在磁共振成像室进行成像的90名3至12岁儿科患者被随机分配到隔离组（I组）、音乐声组（II组）和母亲声音组（III组）。我们通过观察者警觉/镇静评估（OAA/S）评估患者的焦虑和镇静水平。结果：各组在检查过程中的心率、血氧饱和度、OAA/S和拉姆齐评分无显著差异（p>0.05）。母亲声音组丙泊酚的平均用量和总用量在统计学上低于隔离组和音乐声组（p<0.001）。隔离组和音乐声组的丙泊酚平均用量和总用量无显著差异（p>0.05）。在患者改良Aldrete评分达到9所需的时间方面，各组之间未发现差异（p>0.05）。
在儿科患者中，磁共振成像检查期间听母亲的声音可降低镇静剂的总需求量，且不会增加镇静深度。
