儿童镇静放疗综述  

A review of sedation for pediatric radiotherapy

作　　者：林曦瑾 邵孔丰 梁乾东 雷占全 高波 陈海燕[1,2,3] Lin Xijin;Shao Kongfeng;Liang Qiandong;Lei Zhanquan;Gao Bo;Chen Haiyan(Department of Radiation Oncology,Fujian Children's Hospital(Fujian Branch of Shanghai Children's Medical Center),College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics,Fujian Medical University,Fuzhou 350000,China;Department of Radiation Oncology,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Department of Radiation Oncology,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]福建省儿童医院(上海儿童医学中心福建医院),福建医科大学妇儿临床医学院放疗科,福州350000 [2]上海交通大学医学院附属上海儿童医学中心放疗科,上海200127 [3]上海交通大学医学院附属仁济医院放疗科,上海200127

出　　处：《中华放射肿瘤学杂志》2025年第3期300-304,共5页Chinese Journal of Radiation Oncology

摘　　要：儿童放射治疗团队成员有必要熟练掌握并评估患儿镇静/麻醉放疗的适应证,了解其带来的不良反应和解决办法,对镇静/麻醉实施全流程管控。尽管镇静/麻醉放疗领域进展显著,但镇静/麻醉带来的心理压力和家庭负担仍然存在。采用有效的干预措施以减少镇静/麻醉的使用,存在很大的研究空间。本文综述了儿童镇静/麻醉放疗管理、并发症处理以及如何减少镇静/麻醉放疗等儿童肿瘤放疗工作者面临的问题和挑战。As a pediatric radiation oncologist,it is necessary to master and evaluate the sedative/anesthesia indications,adverse reactions and solutions and deliver whole-course management of sedation/anesthesia in pediatric radiotherapy under sedation.Although significant progress has been made in sedation/anesthesia,the psychological stress and family burden of sedation/anesthesia still exist.There is still great research potential in the field of investigating effective nonpharmacological interventions to reduce sedation/anesthesia use.In this article,the issues and challenges of sedative management and complications of pediatric radiotherapy and interventions for reducing sedation/anesthesia of radiotherapy were reviewed.

关 键 词：肿瘤 儿童 放射疗法 镇静 麻醉 

分 类 号：R73[医药卫生—肿瘤]