整体和局部麻醉在治疗耳硬化症的阶段性手术:系统性审查和元分析
Mahdi Bahrami1,2, Reza Bayat2, Abolfazl Akbari2
1Student Research Committee, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
The Laryngoscope
|October 30, 2025
概括
与全身麻醉 (GA) 相比,形手术的局部麻醉 (LA) 提供了较短的手术室和手术时间. 听力测量和安全结果是可比的,这表明LA是一种安全而有效的替代品.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 外科手术的结果
背景情况:
- 耳硬化手术,特别是耳整形,旨在通过解决耳骨固定问题来恢复听力.
- 麻醉的选择,局部麻醉 (LA) 与全身麻醉 (GA),可以影响手术效率和患者体验.
研究的目的:
- 为了比较LA与GA对听力测量结果,手术持续时间,生活质量和耳硬化患者的形手术并发症的影响.
主要方法:
- 在五个主要数据库 (PubMed,Embase,SCOPUS,WoS,Google Scholar) 进行了全面的文献搜索.
- 包括到2025年5月发表的LA和GA对形手术的比较研究.
- 使用综合元分析软件和Review Manager进行了元分析.
主要成果:
- 与GA相比,LA下的手术显示了明显更短的手术室占用 (MD = -17.27分钟) 和手术持续时间 (MD = -8.79分钟).
- 在听力测试结果 (空气导通,骨导通,语音接收值) 或LA和GA之间的空气骨间隙关闭方面没有发现显著差异.
- 并发症的发生率相似,在LA下恶心和吐的幅度略有显著增加 (OR = 2.578).
结论:
- 局部麻醉 (LA) 与减少手术和手术室时间有关.
- 与全身麻醉 (GA) 相比,LA提供非劣质的听力测量和安全结果.
- 拉斯维加斯手术 (LA) 提供了一种安全有效的替代GA手术的安全和有效替代方案.
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