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终结困惑：全身麻醉可改善血管内血栓切除术患者的预后。

End the confusion: general anaesthesia improves patient outcomes in endovascular thrombectomy.

机构信息

Auckland City Hospital, Auckland, New Zealand.

Auckland City Hospital, Auckland, New Zealand.

出版信息

Br J Anaesth. 2022 Oct;129(4):461-464. doi: 10.1016/j.bja.2022.06.018. Epub 2022 Jul 20.

DOI:10.1016/j.bja.2022.06.018
PMID:35868883
Abstract

Expert physiological and pharmacological care by anaesthetists is required in all stroke endovascular thrombectomy cases. RCTs show clinical benefits in recanalisation rates and functional recovery after endovascular thrombectomy with general anaesthesia compared with sedation. Many stroke centres will require wholesale reorganisation of stroke pathways to ensure anaesthesia services are available for all cases. Anaesthetists have an integral role in improving clinical outcomes in large vessel occlusion stroke.

摘要

所有血管内血栓切除术治疗的中风患者都需要麻醉师提供专业的生理和药理学护理。随机对照试验显示，与镇静相比，全身麻醉下的血管内血栓切除术在再通率和功能恢复方面具有临床获益。许多中风中心将需要全面调整中风治疗路径，以确保所有患者都能获得麻醉服务。麻醉师在改善大血管闭塞性中风的临床结局方面发挥着重要作用。

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End the confusion: general anaesthesia improves patient outcomes in endovascular thrombectomy.终结困惑：全身麻醉可改善血管内血栓切除术患者的预后。
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引用本文的文献

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The evolution of personalized stroke thrombectomy.个性化卒中血栓切除术的发展历程。
Front Surg. 2025 Jul 29;12:1590146. doi: 10.3389/fsurg.2025.1590146. eCollection 2025.
2
Outcomes of different anesthesia techniques in nonagenarians treated with mechanical thrombectomy for anterior circulation large vessel occlusion: An inverse probability weighting analysis.机械取栓治疗前循环大血管闭塞的非agenarians不同麻醉技术的结果：逆概率加权分析。 注：这里“nonagenarians”可能有误，正常应该是“nonagenarian”，意思是“九十多岁的人” 。正确译文为：九十多岁患者接受机械取栓治疗前循环大血管闭塞时不同麻醉技术的结果：逆概率加权分析。
Eur Stroke J. 2024 Oct 30:23969873241293009. doi: 10.1177/23969873241293009.
3
General anesthesia versus conscious sedation in mechanical thrombectomy for patients with acute ischemic stroke: systematic review and meta-analysis.
全麻与清醒镇静在急性缺血性脑卒中机械取栓中的应用比较：系统评价和荟萃分析。
Arq Neuropsiquiatr. 2024 Apr;82(4):1-7. doi: 10.1055/s-0044-1785693. Epub 2024 Apr 12.
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Sedation versus general anesthesia on all-cause mortality in patients undergoing percutaneous procedures: a systematic review and meta-analysis.镇静与全身麻醉对接受经皮手术患者全因死亡率的影响：系统评价和荟萃分析。
BMC Anesthesiol. 2024 Apr 2;24(1):126. doi: 10.1186/s12871-024-02505-w.
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General anesthesia or conscious sedation for thrombectomy in stroke patients: an updated systematic review and meta-analysis.全麻或清醒镇静用于脑卒中患者取栓术：一项更新的系统评价和荟萃分析。
Can J Anaesth. 2023 Jul;70(7):1167-1181. doi: 10.1007/s12630-023-02481-8. Epub 2023 Jun 2.