CAJ | 학술논문

急性缺血性卒中血管内治疗的麻醉模式包括全身麻醉和清醒镇静.最近几项研究显示,全身麻醉与急性缺血性卒中血管内治疗患者转归不良相关.全身麻醉导致转归较差的原因尚不清楚,可能与血流动力学不稳定和低血压有关.目前认为,全身麻醉和清醒镇静各有其优缺点.在获得高质量的证据之前,必须对每例患者个体化选择麻醉模式.
급성결혈성졸중혈관내치료적마취모식포괄전신마취화청성진정.최근궤항연구현시,전신마취여급성결혈성졸중혈관내치료환자전귀불량상관.전신마취도치전귀교차적원인상불청초,가능여혈류동역학불은정화저혈압유관.목전인위,전신마취화청성진정각유기우결점.재획득고질량적증거지전,필수대매례환자개체화선택마취모식.
Anesthesia modalities for endovascular treatment of acute ischemic stroke include general anesthesia and conscious sedation.Several recent studies have shown that the general anesthesia is associated with the poor outcome of endovascular treatment in patients with acute ischemic stroke.The underlying reason of causing worse outcome is unknown.It may be associated with hemodynamic instability and hypotension.Currently,it is considered that both general anesthesia and conscious sedation have their advantages and disadvantages.We must choose individualize anesthesia modalities for each patient before we obtain highquality evidence.