缺血区的脑循环恢复是减少缺血性中风患者不可逆神经元损伤的最关键的治疗任务。适当选择的患者的再治疗对于改善临床结果是必不可少的,并导致了广泛的血运重建技术。对于接受神经血管内手术的缺血性中风患者使用哪种麻醉方式尚无明确答案。本系统评价的目的是对急性缺血性卒中患者脑血管内介入的全身麻醉和非全身麻醉方法进行系统评价和荟萃分析(RSs&MA)的定性分析。我们为匹配的出版物制定了包含和排除标准的方案,并在PubMed和GoogleScholar中进行了文献检索。文献检索产生了52种潜在出版物。本综述包括并分析了10个相关的RS和MA。在急性缺血性卒中患者的血管内手术中使用哪种麻醉方法应根据患者的个人特征做出决定。病理生理表型,临床特征,和机构经验。
Restoration of cerebral circulation in the ischemic area is the most critical treatment task for reducing irreversible neuronal injury in ischemic stroke patients. The recanalización of appropriately selected patients became indispensable for improving clinical outcomes and resulted in the widespread revascularization techniques. There is no clear answer as to which anesthetic modality to use in ischemic stroke patients undergoing neuro-endovascular procedures. The purpose of this systematic review is to conduct a qualitative analysis of systematic reviews and meta-analyses (RSs & MAs) comparing general anesthesia and non-general anesthesia methods for cerebral endovascular interventions in acute ischemic stroke patients. We developed a protocol with the inclusion and exclusion criteria for matched publications and conducted a literature search in PubMed and Google Scholar. The literature search yielded 52 potential publications. Ten relevant RSs & MAs were included and analysed in this review. The decision about which anesthesia method to use for endovascular procedures in managing acute ischemic stroke patients should be made based on the patient\'s personal characteristics, pathophysiological phenotypes, clinical characteristics, and institutional experience.