在皮肤气球压缩期间患有三角神经疼痛的患者中与三角心脏反射相关的危险因素:一项回顾性队列研究
Huanhuan Zhang1, Meng Zhang1, Hongxia Guo1
1Department of Anesthesiology, Hebei General Hospital, Shijiazhuang, Hebei, China.
Clinical neurology and neurosurgery
|June 18, 2023
概括
在卵巢孔刺之前,心率低于60次/分钟是三角神经疼痛治疗期间三角心脏反射 (TCR) 的关键危险因素. 麻醉师应该控制心率,以防止这种反射.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 心脏病学 心脏病学
背景情况:
- 三角心脏反射 (TCR) 是一种脑干反射,通常在三角神经疼痛 (TN) 的皮肤通气球压缩 (PBC) 期间触发.
- TCR可能会导致严重的血液动力学障碍,包括心肌梗塞和心脏骤停,需要确定危险因素.
- 了解TCR风险对于预防外科手术期间的不良结果至关重要.
研究的目的:
- 在接受PBC的TN患者中确定TCR的危险因素.
- 为TN治疗期间的临床麻醉管理提供见解.
主要方法:
- 对165名经过PBC的TN患者进行了回顾性分析.
- TCR定义为≥20%的心率下降或心脏骤停,与三角神经刺激相吻合.
- 后勤回归分析以确定独立的风险因素.
主要成果:
- 在被研究的患者中,TCR的发生率为54.5%.
- 在卵孔刺穿前,心率低于60次/分钟被确定为一个显著的危险因素 (OR:4.622;P<0.05).
结论:
- 在卵巢孔刺之前的心率低 (<60bpm) 是TCR的独立预测因素.
- 麻醉师应主动管理和增加心率,以减轻TCR风险在TN的PBC期间TN.
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