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在局部麻醉和全身麻醉下,慢性亚皮血瘤疏散结果的单一中心比较
Taras Havryliv1, Oleg Devinyak2, Oleksandr Yartym1
1Medical Faculty, Uzhhorod National University, Uzhhorod, Ukraine; Municipal Non-Profit Enterprise "Regional Clinic, Center of Neurosurgery and Neurology" Transcarpathian Regional Council, Uzhhorod, Ukraine.
局部麻醉 (LA) 和全身麻醉 (GA) 在慢性腹膜下血瘤疏散方面同样有效,提供经济和时间的好处. 对于患有并发病的老年患者来说,LA是一种安全的替代方案.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 慢性亚皮血瘤 (CSDH) 是老年人常见的一种神经外科疾病.
- 危险因素包括头部创伤,抗血小板使用和高血压.
- 洞疏散是症状性CSDH的主要治疗方法.
研究的目的:
- 为了比较全身麻醉 (GA) 与局部麻醉 (LA) 的安全性和经济效益,用于CSDH疏散.
- 评估并发症对麻醉选择的影响.
- 评估这两种麻醉技术的有效性和缺点.
主要方法:
- 一项追溯性研究74个CSDH疏散在67名患者超过3年.
- 患者被分为GA (n=44) 和LA (n=23) 组.
- 对手术持续时间,住院时间,并发症和神经状态进行比较.
主要成果:
- 局部麻醉 (LA) 在CSDH疏散方面表现出与全身麻醉 (GA) 相同的效果.
- LA与更短的手术时间和住院时间有关.
- 对于伴随疾病的老年患者来说,LA证明更经济,更安全.
结论:
- 局部麻醉 (LA) 不低于全身麻醉 (GA) 进行CSDH疏散.
- LA提供时间和经济优势,对老年患者的副作用较少,并发病患者.
- 对于过度活跃的患者或具有LA禁忌的患者,仍然需要全身麻醉 (GA).
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