摘要
目前帕金森病等功能性神经疾病的手术治疗方法主要是脑深部刺激器(deep brain stimulator,DBS)植入术,麻醉方式主要有清醒镇静和全身麻醉。随着DBS植入术数量的增加,手术水平的提高和影像学的进展,这一微创手术将会得到更为广泛的应用。麻醉医师应当了解帕金森病患者的病情特点和DBS植入术麻醉管理的特殊需求。本文将对帕金森病的DBS植入术围手术期麻醉管理以及麻醉相关的并发症进行阐述。
出处
《中华临床医师杂志(电子版)》
CAS
2012年第2期122-124,共3页
Chinese Journal of Clinicians(Electronic Edition)
参考文献21
-
1Walter BL.Cardiovascular autonomic dysfunction in patients with movement disorders.Cleve Clin J Med,2008,75:54-58.
-
2Benabid AL,Chabardes S,Mitrofanis J,et al.Deep brain stimulation of the subthalamic nucleus for the treatment of Parkinson's disease.Lancet Neurol,2009,8:67-81.
-
3Pereira EA, Green AL, Nandi D. Deep brain stimulation:indications and evidence. Expert Rev Med Devices,2007,4:591-603.
-
4Venkatraghavan L, Luciano M, Manninen P. Anesthetic management of patients undergoing deep brain stimulator insertion. Anesth Analg,. 2010,110:1138-1145.
-
5Wamke PC.STN stimulation and neuroprotection in Parkinson's disease:when beautiful theories meet ugly facts.Neurol Neurosurg Psychiatry,2005,76:1186-1187.
-
6Lyons MK.Deep brain stimulation:current and future clinical application.Mayo Clin Proc,2011,86:662-672.
-
7Johnson MD,Miocinovic S,McIntyre CC,et al.Mechanisms and targets of deep brain stimulation in movement disorders.Neurotherapeutics,2008,5:294-308.
-
8Lefaucheur JP,Gurruchaga JM,Pollin B,et al.Outcome of bilateral subthalamic nucleus stimulation in the treatment of Parkinson's disease:correlation with intra-operative multi-unit recordings but not with the type of anaesthesia.Eur Neurol,2008,60:186-199.
-
9Poon CCM,Irvin MG.Anaesthesia for deep brain stimulation and in patients with implanted neurostimulator devices.Br J Anaesth,2009,103:152-165.
-
10Rozet I.Anesthesia for functional neurosurgery:the role of dexmedetomidine.Curr Opin Anaesthesiol,2008,21:537-543.
同被引文献59
-
1吴鹏飞,吴安华,王运杰.颅内动脉瘤的危险因素[J].中国微侵袭神经外科杂志,2008,13(7):331-333. 被引量:10
-
2张振馨.帕金森病的诊断[J].中华神经科杂志,2006,39(6):408-409. 被引量:616
-
3Abd-Elsayed AA, Wehby AS, Farag E. Anesthetic management of patients with intracranial aneurysms[ J]. Ochsner J, 2014, 14 (3) :418..425.
-
4Dorhout Mees SM, Rinkel GJ, Feigin VL, et al. Calcium antagonists for aneurysmal subarachnoid haemorrhage [ J ].Cochrane Database Syst Rev, 2007, (3) : CD000277. DOI: 10. 1002/14651858. CD000277. pub3.
-
5Pierot L, Aggour M, Motet J. Vasospasm after aneurysma! subaraehnoid hemorrhage : recent advances in endovascular management[ J]. Curr Opin Crit Care, 2010, 16 (2) : 110-116. DOI : 10. 1097/MCC. 0b013e3283372ef2.
-
6Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for heahhcare professionals from the American Heart Associatiorr/ameriean Stroke Association [ J]. Stroke, 2012, 43 ( 6 ) : 1711-1737. DOI: 10. ll61/STR. ObO13e3182587839.
-
7Diringer MN, Bleck TP, Claude Hemphill J]rd, et al. Critical care management of patients following aneurysmal subarachnoid hemorrhage : recommendations from the Neurocritical Care Society's Multidisciplinary Consensus Conference [ J ]. Neurocrit Care, 2011, 15 (2) :211-240. DOI: 10. 1007/s12028-011-9605- 9.
-
8Belayer L, Pinard E, Nallet H, et al. Albumin therapy of transient focal cerebral ischemia: in vivo analysis of dynamic microvascular responses [ J ]. Stroke, 2002, 33 (4) : 1077 -I 084.
-
9Priebe HJ. Aneurysmal subarachnoid haemorrhage and the anaesthetist[J]. Br J Anaesth, 2007, 99 ( 1 ) : 102-118. DOI: 10. 1093/bja/aem119.
-
10Clifton GL, Drever P, Valadka A, et al. Muhicenter trial of early hypothermia in severe brain injury[ J]. J Neurotrauma, 2009, 26 ( 3 ) :393-397. DOI : 10. 1089/neu. 2008. 0556.
引证文献8
-
1中国颅脑疾病介入治疗麻醉管理专家共识[J].中华医学杂志,2016,96(16):1241-1246. 被引量:12
-
2温春杰,金锡英.帕金森病患者脑深部电极植入术的护理配合[J].护理与康复,2017,16(3):291-293. 被引量:2
-
3王文超,张鉴,王亦璜,詹峰.右美托咪定对帕金森病患者脑深部刺激器立体定向植入术的镇静镇痛效果[J].临床合理用药杂志,2017,10(26):43-44. 被引量:2
-
4刘明玺,张志强.帕金森病合并膝关节骨关节炎行人工全膝关节置换的研究进展[J].中华骨与关节外科杂志,2018,11(1):73-77. 被引量:3
-
5赵泽宇,程庆,张蓉,王馨雪,黄建盛,吴丽君.不同剂量右美托咪定用于帕金森病患者脑深部电刺激术镇静效果的比较[J].中华麻醉学杂志,2018,38(11):1285-1287. 被引量:4
-
6周永德,史成梅,周荣淞,范婷,赵鹰,于翠萍,丁剑,王保国.右美托咪定复合头部神经阻滞麻醉在帕金森病患者脑深部刺激电极植入术中的应用[J].山东医药,2020,60(26):67-69. 被引量:6
-
7熊芸,高申菊.脑深部电极植入术联合暗示步态训练改善帕金森患者冻结步态[J].神经损伤与功能重建,2022,17(6):352-353. 被引量:3
-
8陈良,谢思宁,李享佳卉,童媛媛,杨宛凝,韩如泉,熊蔚.帕金森病患者行脑深部电刺激手术的麻醉管理:基于国内多中心的横断面调查[J].国际麻醉学与复苏杂志,2022,43(10):1054-1058.
二级引证文献32
-
1肖天波.靓声的索尼MDR-G51后框耳机[J].实用影音技术,2000(4):11-11.
-
2陈一霞,蒋伟超.帕金森病患者脑深部电刺激术治疗的围手术期护理[J].中国卫生标准管理,2017,8(18):161-163. 被引量:3
-
3林浩,朱庆斌,倪小佳,廖文静,罗旭飞,乔寒子,陈耀龙,蔡业峰.中国神经血管手术防治卒中相关指南的系统评价[J].中国脑血管病杂志,2018,15(4):169-176. 被引量:19
-
4鲍青松,李查兵,康路,王伟,粱向南,周家龙.右美托咪定在小儿人工耳蜗植入术麻醉中的应用[J].中国处方药,2018,16(7):81-82. 被引量:3
-
5赵泽宇,程庆,张蓉,王馨雪,黄建盛,吴丽君.不同剂量右美托咪定用于帕金森病患者脑深部电刺激术镇静效果的比较[J].中华麻醉学杂志,2018,38(11):1285-1287. 被引量:4
-
6任远中,王英振,李涛,余永波,虞丁柱,姜雅萍.全膝关节置换术治疗膝骨关节炎合并帕金森病临床效果[J].中国矫形外科杂志,2019,27(11):1043-1046. 被引量:3
-
7段宸,冯兆海,郝玉军.帕金森病合并抑郁症立体定向手术治疗效果刍议[J].中外医疗,2019,38(21):80-82.
-
8顾丽莉,储敏.整体化综合护理对膝关节骨关节炎患者关节功能的改善作用[J].国际护理学杂志,2019,38(23):3989-3991. 被引量:3
-
9梁丽敏,周世灿,张挚,郭亚芳,张义轩.2016/2018中国麻醉领域临床实践指南质量评价[J].河南大学学报(医学版),2020,39(4):260-265. 被引量:7
-
10高见,张华,刘国成,汪德聪,赵泽宇.右美托咪定对重型颅脑损伤患者术后血清炎症因子和神经细胞因子水平及预后的影响[J].中国医药导报,2021,18(1):111-114. 被引量:26
-
1高宝斌,李翃斌.多发性肌炎与皮肌炎病人麻醉管理的回顾性研究[J].浙江临床医学,2006,8(10):1102-1102.
-
2朱琳佳,周钦海,张华兴,丁正年,钱燕宁.植入脑起搏器的帕金森病患者行结肠癌根治术一例[J].临床麻醉学杂志,2013,29(10):1038-1038.
-
3王晓宏.神经疾病[J].日本医学介绍,1996,17(8):365-367.
-
4周农,江丰收,庄建生.恶性肿瘤神经系统伴随综合征17例误诊分析(摘要)[J].中国神经免疫学和神经病学杂志,1995,2(3):152-152.
-
5王锷,旷满秀.后腹腔镜下肾上腺嗜铬细胞瘤切除术的麻醉处理[J].中国内镜杂志,2006,12(9):961-963. 被引量:1
-
6刘引弟,胡丽茎,刘利琼,叶碧.经鼻内镜手术切除局灶复发性鼻咽癌的护理[J].齐齐哈尔医学院学报,2008,29(7):878-879. 被引量:1
-
7王全胜,雷爵辉.嗜铬细胞瘤手术的围手术期麻醉管理[J].新疆医学,2006,36(4):147-148.
-
8吴环立.髓内肿瘤的外科治疗效果分析[J].中国社区医师,2016,32(7):98-98.
-
9伊强,李新昂,史跃林.围手术期麻醉管理对老年患者心脏手术麻醉后并发症预防探讨[J].中国实用医药,2016,11(16):177-178. 被引量:2
-
10沈存芳,骆玉霜.奥沙利铂、CF加5-FU治疗晚期食管癌31例报告[J].山东医药,2005,45(19):76-77. 被引量:1