在醒着的骨切割过程中,睡眠-清醒-睡眠和监控麻醉护理技术之间的主观患者体验的比较
Laura Krismer1, Ursula Tröndle2, Christian Schwer2
1Department of Neurosurgery.
Journal of neurosurgical anesthesiology
|November 5, 2025
概括
醒着的骨切除术 (AC) 麻醉技术"睡眠-醒着-睡眠" (SAS) 和"监控麻醉护理" (MAC) 提供类似的患者体验. 然而,与SAS相比,MAC程序大大减少了手术室的时间.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 患者的治疗结果.
背景情况:
- 醒着的骨切除术 (AC) 与功能性大脑映射是雄辩的大脑瘤的标准.
- 两种麻醉技术,睡眠-觉醒-睡眠 (SAS) 和监控麻醉护理 (MAC),是常见的.
- 有限的数据存在于患者报告的SAS与MAC的手术内经验.
研究的目的:
- 为了比较患者报告的SAS和MAC在AC期间的手术内经历.
- 为了评估手术后生活质量 (QoL) 的患者接受AC与SAS与MAC.
- 评估和比较SAS和MAC麻醉技术的手术室 (OR) 时间.
主要方法:
- 经手术后的电话调查对患者进行了手术后的电话调查,这些患者接受了针对雄辩的大脑瘤的AC.
- 使用Beez采访协议和EuroQol EQ-5D-5L来评估患者的体验和QOL.
- 患者报告的结果和OR时间在SAS和MAC组之间进行了比较.
主要成果:
- 34名患者 (每组17人) 完成了调查;SAS组有更多的女性 (82%对12%).
- 在SAS和MAC组之间,手术期间的患者体验和术后的QoL是相似的.
- 操作室时间对于MAC (366分钟) 比SAS (453分钟) 短得多.
结论:
- 对于SAS和MAC的机构协议产生了可比的内部经验和QoL.
- 与SAS相比,监控麻醉护理 (MAC) 与手术室时间的缩短有关.
- 需要进行更大规模的研究来验证这些关于AC麻醉技术的发现.
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