文章摘要
经皮球囊压迫术中三叉神经心反射的研究进展
Research progress on trigeminocardiac reflex during percutaneous balloon compression
  
DOI:10.12089/jca.2025.01.017
中文关键词: 三叉神经心反射  心动过缓  心搏骤停  三叉神经痛  经皮球囊压迫
英文关键词: Trigeminocardiac reflex  Bradycardia  Cardiac arrest  Trigeminal neuralgia  Percutaneous balloon compression
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作者单位E-mail
肖玉花 410013,长沙市,湖南省肿瘤医院 中南大学湘雅医学院附属肿瘤医院麻醉科  
曹丽君 中南大学湘雅二医院麻醉科(现在中南大学湘雅二医院桂林医院麻醉科) hivit1103@csu.edu.cn 
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中文摘要:
      三叉神经痛(TN)是一种常见的神经系统疾病。经皮球囊压迫(PBC)三叉神经半月节术是治疗TN的首选手术之一,但术中容易发生三叉神经心反射(TCR)。TCR主要表现为穿刺针或球囊压迫刺激三叉神经时突然发生心动过缓,并伴随血压骤升,严重者甚至发生心搏骤停,显著增加了围术期心脑血管意外的风险。因此,本文综述了近年来该领域的研究进展,包括TCR的发生机制、影响因素、预防和治疗方法,为TCR的防治提供参考。
英文摘要:
      Trigeminal neuralgia (TN) is a common neurological disorder. Percutaneous balloon compression (PBC) of the trigeminal ganglion is one of the preferred surgical treatments for TN. However, trigeminocardiac reflex (TCR) is prone to occur during the procedure. The TCR is primarily characterized by sudden bradycardia and a sharp increase in blood pressure when the needle or balloon compression stimulates the trigeminal nerve. It can even lead to cardiac arrest, significantly increasing the risk of perioperative cardiovascular, and cerebrovascular accidents. Therefore, this article reviews recent advancements in this field, including the mechanism, influencing factors, prevention, and treatment of TCR, providing references for the prevention and treatment of TCR.
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