文章摘要

神经电生理监测的影响因素

作者: 1胡虹钰, 1杨万超
1 哈尔滨医科大学附属第二医院麻醉科,哈尔滨 150081
通讯: 杨万超 Email: dachao_1980@126.com
DOI: 10.3978/j.issn.2095-6959.2021.03.032
基金: 哈尔滨医科大学研究生创新项目(YJSSJCX2018-62HYD)。

摘要

神经电生理监测因其可以监测术中神经损伤,改善患者预后的优点广泛应用于神经外科、脊柱外科、甲状腺外科手术等。与此同时神经电生理监测受到包括麻醉药物、体温、手术体位等多种因素的影响。众多影响因素制约了神经电生理监测,了解、掌握并规避影响因素,对提高神经电生理监测指导临床操作的可信度至关重要。
关键词: 运动诱发电位;体感诱发电位;视觉诱发电位;听觉诱发电位;肌电图

Influencing factors of intraoperative neurophysiological monitoring

Authors: 1HU Hongyu, 1YANG Wanchao
1 Department of Anesthesiology, Second Affiliated Hospital of Harbin Medical University, Harbin 150081, China

CorrespondingAuthor: YANG Wanchao Email: dachao_1980@126.com

Foundation: This work was supporded by Harbin Medical University Graduate Innovation Foundation, China (YJSSJCX2018-62HYD).

Abstract

Intraoperative neurophysiological monitoring is widely used in neurosurgery, spinal surgery, thyroid surgery and so on due to its advantages of monitoring intraoperative nerve injury and improving the prognosis of patients. At the same time, intraoperative neurophysiological monitoring is affected by many factors, including anesthetic drugs, body temperature, and surgical position, etc. Many influencing factors restrict the intraoperative neurophysiological monitoring. It is very important to understand, master and avoid the influencing factors, so as to improve the credibility of intraoperative neurophysiological monitoring in guiding clinical operations.
Keywords: motor evoked potentials; somatosensory evoked potentials; visual evoked potentials; auditory evoked potential; electromyography