重庆医学2026，Vol.55Issue(3)：691-696,6.DOI:10.3969/j.issn.1671-8348.2026.03.037
经皮球囊压迫术中三叉神经心反射的机制及防治研究进展
Research progress on the mechanism and prevention/treatment of trigeminocardiac reflex during percutaneous balloon compression
摘要
Abstract
Percutaneous balloon compression(PBC)is a minimally invasive technique widely used in the treatment of trigeminal neuralgia in recent years,favored due to its relative simplicity,high safety profile,and definitive efficacy.However,this procedure may intraoperatively induce the trigeminocardiac reflex(TCR),often leading to severe bradycardia,hypertension,and even cardiac arrest,which has become a signifi-cant challenge in perioperative management.Based on recent clinical research findings,this article systemati-cally reviews the impact factors,such as patient,surgical manipulation,and anesthesia management,on TCR,and combined with literature analysis and intraoperative practical experience,it summarizes and discusses sur-gical procedure optimization,anesthesia strategy selection,and related preventive measures,aiming to provide a reference for reducing the incidence of TCR and enhancing perioperative safety for patients undergoing PBC.关键词
三叉神经心反射/经皮球囊压迫术/心动过缓/心搏骤停/高血压Key words
trigeminocardiac reflex/percutaneous balloon compression/bradycardia/cardiac arrest/hypertension分类
医药卫生引用本文复制引用
蒋坪坪,董志远,崔剑..经皮球囊压迫术中三叉神经心反射的机制及防治研究进展[J].重庆医学,2026,55(3):691-696,6.基金项目
重庆市卫生适宜推广项目(2024jstg041) （2024jstg041）
陆军第九五八医院创新人才培育项目(2024YGKT035). （2024YGKT035）
