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OA

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.