急性缺血性卒中血管内治疗的麻醉方式研究进展

Progress of anesthetic strategy of endovascular treatment for acute ischemic stroke

急性缺血性卒中血管内治疗的最佳麻醉方式目前尚未有定论。既往的回顾性研究及荟萃分析均显示,全身麻醉组患者的预后较清醒镇静组差,而最近的一系列随机对照研究结果却未显示清醒镇静的优势。因此,在临床实践中仍需个体化评估及选择合适的麻醉方式。我们就全身麻醉及清醒镇静两种麻醉方式在急性血管内治疗时各自的特点进行综述,以供临床医生参考。

Currently, the ideal anesthetic approach for the endovascular treatment of acute ischemic stroke remains unknown. Most retrospective studies and meta-analysis report worse outcomes from general anesthesia than from conscious sedation during endovascular treatment. However, series of randomized controlled trials have not shown the advantages of conscious sedation. The choice of anesthetic strategy should continue to be individualized in clinical practice. In order to provide references for clinician, the advantages and disadvantages of general anesthesia and conscious sedation for the endovascular treatment of acute ischemic stroke were reviewed.