在第1阶段的圣神经调节试验中选择麻醉是否会影响结果?
Brendan T Waldoch1, Danyon J Anderson1,2, Sydney A Narveson1,3
1Department of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Neurourology and urodynamics
|January 19, 2024
概括
麻醉类型不会影响神经神经调节 (SNM) 成功率. 监测麻醉护理 (MAC) 和全身麻醉 (GA) 对于SNM领先的安置都显示出与永久植入类似的进展,以消除功能障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经调节是一种神经调节.
- 麻醉学 麻醉学
背景情况:
- 阶段性神经神经调节 (SNM) 是有效的消除功能障碍.
- 第1阶段SNM (SNM-I) 引领放置可以使用监控麻醉护理 (MAC) 或全身麻醉 (GA).
- MAC允许感觉和运动评估,而GA只允许运动评估,可能会影响领先位置.
研究的目的:
- 评估麻醉类型是否会影响到永久性圣经神经调节植入 (SNM-II) 的进展率.
主要方法:
- 对121名因膀过活而接受SNM-I治疗的患者 (2005-2023) 的回顾性图表审查.
- 根据麻醉来分组患者:MAC (n=95) 或GA (n=26).
- 到SNM-II的进展被定义为在1-2周的试验中≥50%的症状改善.
主要成果:
- 在MAC (72%) 和GA (73%) 组之间,SNM-II的进展没有显著差异 (p=0.39).
- 与最近的MAC患者进行比较也显示没有差异 (MAC 77%与GA 73%;p=0.48).
结论:
- 对SNM-I的麻醉类型不会影响到SNM-II的进展速度.
- 结果支持在SNM-I期间仅仅使用运动反应来确定位,即使在GA下也是如此.
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