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经皮椎体后凸成形术治疗椎体压缩性骨折的麻醉方法分析。

Analysis of Anesthesia Methods in Percutaneous Kyphoplasty for Treatment of Vertebral Compression Fractures.

机构信息

Department of Anesthesia, Second Affiliated Hospital of Dalian Medical University, Dalian, China.

School of Software Technology, Dalian University of Technology, Dalian, China.

出版信息

J Healthc Eng. 2020 Jan 9;2020:3965961. doi: 10.1155/2020/3965961. eCollection 2020.

Abstract

AIM

Percutaneous kyphoplasty (PKP) is a routine operation for the treatment of vertebral compression fracture (VCF). Both local anesthesia and general anesthesia are widely used for PKP. However, which type of anesthesia is better for PKP still remains uncertain. This study aimed to find out whether local anesthesia or general anesthesia is more suitable for PKP.

METHODS

This is a retrospective clinical trial. A total of 85 single-level VCF patients who received PKP 12 months ago were recruited in this study. 45 patients who received local anesthesia were in group L, and 40 patients with general anesthesia were in group G. Clinical, radiological, and economic data between the two groups were collected.

RESULTS

No difference was found on preoperative data between the two groups. The duration of operation time in group L was longer than that in group G. Within 12 months after PKP, more complications happened in group G than those in group L.

RESULTS

No difference was found on preoperative data between the two groups. The duration of operation time in group L was longer than that in group G. Within 12 months after PKP, more complications happened in group G than those in group L.

CONCLUSION

Both local anesthesia and general anesthesia were reliable for PKP. However, local anesthesia was more efficient and safer with less expense and more bearable pain when compared with general anesthesia.

摘要

目的

经皮椎体后凸成形术(PKP)是治疗椎体压缩性骨折(VCF)的常规手术。PKP 可选择局部麻醉或全身麻醉,但哪种麻醉方式更适合 PKP 仍存在争议。本研究旨在探讨局部麻醉与全身麻醉在 PKP 中的应用价值。

方法

这是一项回顾性临床试验。共纳入 85 例接受单节段 PKP 治疗 12 个月的 VCF 患者,其中 45 例采用局部麻醉(L 组),40 例采用全身麻醉(G 组)。收集两组患者的临床、影像学和经济学资料。

结果

两组患者术前一般资料无差异。L 组手术时间长于 G 组。PKP 后 12 个月内,G 组并发症多于 L 组。

结论

局部麻醉和全身麻醉均可用于 PKP,局部麻醉在手术时间、费用、疼痛和安全性方面优于全身麻醉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd8e/6973186/363d0c04ad7c/JHE2020-3965961.001.jpg

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