中国康复理论与实践2017，Vol.23Issue(4)：424-429,6.DOI:10.3969/j.issn.1006-9771.2017.04.013
全麻下脊柱脊髓手术中神经电生理监测异常的原因分析
Analysis of Abnormalities of Intraoperative Neurophysiological Monitoring in Spine and Spinal Cord Surgery un-der General Anesthesia
摘要
Abstract
Objective To analyze the factors related with intraoperative neurophysiological monitoring (IONM) in spine and spinal cord surgery under general anesthesia, in order to increase the effectiveness of IONM. Methods A retrospective study was performed on patients who received somatosensory-evoked potential (SEP) and motor-evoked potentials (MEP) in spine surgery under general anesthesia from Ju-ly, 2011 to January, 2016. Results Data from 104 patients were collected in which 18 cases had abnormal SEP and 17 cases had abnormal MEP. A single factor analysis indicated that abnormal SEP was related to concentration of inhalation anesthetic (CIA), hypothermia in peri-operative period (HTM), and type of anesthesia (χ2>6.219, P<0.05), whereas abnormal MEP was related to CIA, hypotension in periopera-tive period (HTN), and additional muscular relaxants (χ2>4.125, P<0.05). Logistic regression analysis indicated that abnormal SEP was relat-ed to CIA and HTM, whereas abnormal MEP was related to CIA and HTN (P<0.05). Conclusion CIA, HTM, and HTN were possible fac-tors related with IONM in spine surgery under general anesthesia.关键词
脊柱脊髓手术/全身麻醉/术中神经电生理监测/体感诱发电位/运动诱发电位Key words
spine and spinal cord surgery/general anesthesia/intraoperative neurophysiological monitoring/somatosensory-evoked po-tential/motor-evoked potentials分类
医药卫生引用本文复制引用
熊巍,王增春,张军卫,王强..全麻下脊柱脊髓手术中神经电生理监测异常的原因分析[J].中国康复理论与实践,2017,23(4):424-429,6.基金项目
中央级公益性科研院所基本科研业务费专项资金(No. 2014 CZ-15). （No. 2014 CZ-15）
