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管道栓塞装置在局部和全身麻醉下放置:一个倾向性得分匹配的研究
Longhui Zhang1,2, Chao Wang3,4, Xuefang Wu5
1Departments of1Interventional Neuroradiology and.
Journal of neurosurgery
|August 10, 2024
概括
使用局部麻醉 (LA) 放置管道栓塞装置 (PED) 治疗内动脉瘤,与全身麻醉 (GA) 一样安全有效. LA显著减少了手术时间和医院费用,而不会影响患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 管道栓塞装置 (PED) 放置是内动脉瘤的常见治疗方法.
- 一般麻醉 (GA) 是通常使用的,但带有风险和增加成本.
- 局部麻醉 (LA) 提供了一个潜在的替代方案,以减少程序负担.
研究的目的:
- 为了比较临床结果和PED安置的医院费用,在LA和GA下对内动脉瘤进行PED安置.
- 评估LA在PED程序中的安全性和有效性.
- 确定麻醉类型对程序效率和医疗保健支出的影响.
主要方法:
- 以PED治疗的216名223名内动脉瘤患者的回顾性分析.
- 根据麻醉类型分组患者:局部麻醉 (LA) 或全身麻醉 (GA).
- 使用倾向分数匹配 (PSM) 来平衡患者的特征并最大限度地减少偏差.
主要成果:
- 84名患者 (88例动脉瘤) 接受了LA,132名患者 (135例动脉瘤) 接受了GA.
- 在LA和GA组之间观察到类似的并发症率和6个月修改的兰金级分数.
- 与GA组相比,LA组的手术时间显著缩短,医院费用较低,无论是在PSM前后.
结论:
- 在LA中放置PED可以达到与GA相似的临床结果.
- 使用LA用于PED放置大大减少了程序的持续时间.
- 局部麻醉为PED手术提供了具有成本效益的替代方案,提高了资源利用率.
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