评估脊柱麻醉在患有重大并发病症的患者中的安全性和有效性
Tameem Ahsan1, Andy Y Wang1, Helen Karimi1
1Department of Neurosurgery, Tufts Medical Center, Boston, Massachusetts, USA.
World neurosurgery
|June 9, 2023
概括
脊柱麻醉对于腰部手术患者具有肥胖或睡眠呼吸暂停等并发症是安全的. 这些患者与没有这些健康状况的患者相比,经历了类似的并发症率.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 整形外科手术 整形外科手术
背景情况:
- 脊柱麻醉在腰部手术中是有效的,但患者的合并疾病的资格是有争议的.
- 肥胖,焦虑,睡眠呼吸暂停,重新手术和多层次手术被认为是相对的禁忌.
- 这项研究调查了腰部手术患者的并发症率,这些患者在脊髓麻醉下患有这些并发症.
研究的目的:
- 评估脊柱麻醉在接受腰部手术的常见并发症患者的安全性和并发症率.
- 为了比较患有并发症的患者和没有这些风险因素的对照组之间的术后结果.
主要方法:
- 分析了前性收集的数据库,其中包括422名在脊髓麻醉下接受胸腔巴手术的患者.
- 包括手术的时间<3小时,包括微椎间盘切除术,细叶切除术和融合 (单层和多层).
- 与特定并发症 (肥胖,焦虑,睡眠呼吸暂停,重复手术,多层次手术) 的患者组和对照组之间的结局的比较.
主要成果:
- 两组之间没有观察到手术内和手术后并发症的统计学上显著差异.
- 少数例外包括焦虑组的两例肺炎病例和重新手术组的一例.
- 脊髓融合率相似,尽管停留时间和手术时间不同.
结论:
- 脊柱麻醉是一种安全的麻醉选择,用于接受常规腰部手术的具有重大并发症的患者.
- 它可以考虑用于广泛的患者,挑战以前的禁忌.
- 进一步的研究可能会探索在脊髓麻醉下特定的并发症管理策略.
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