[在清醒状态下进行切除术的患者的感觉和满意度]
E V Sinbukhova1, A Yu Lubnin1, A S Kulikov1
1Burdenko Neurosurgical Center, Moscow, Russia.
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
|February 11, 2026
概括
用于切除脑瘤的清醒骨切除术被患者容忍得很好,在所有手术阶段报告的满意度很高. 大多数患者在手术过程中都经历了舒适的麻醉.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 现代麻醉技术能够成功地绘制大脑的地图.
- 醒着的头骨切割越来越多地被整合到领先的神经外科实践中.
- 一些临床医生认为醒着的骨切除术对患者来说具有挑战性.
研究的目的:
- 为了评估患者的满意度和主观经验后醒着的头骨切除术.
主要方法:
- 评估了30名在清醒状态下进行骨切除术的患者.
- 用一个专门的检查表来衡量患者的满意度.
- 疼痛和焦虑水平使用经过验证的尺度 (VAS,Hanin-Spielberger,HADS) 进行评估.
主要成果:
- 在手术前的记忆 (86%) 和手术期间的记忆 (56.7%) 中报告了高满意度得分.
- 手术后的记忆在33.7%的患者中显示满意度.
- 几乎所有的患者在10分级上将麻醉评为非常舒适.
结论:
- 醒着的头骨切割显示了患者的高满意度.
- 这种程序被绝大多数患者认为是舒适的.
- 主观的患者体验支持在神经外科手术中使用醒着的骨切除术.
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