全麻下脊柱脊髓手术中神经电生理监测异常的原因分析

doi:10.3969/j.issn.1006-9771.2017.04.013

Abstract

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 July, 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 perioperative period (HTM), and type of anesthesia (χ2>6.219, P<0.05), whereas abnormal MEP was related to CIA, hypotension in perioperative period (HTN), and additional muscular relaxants (χ2>4.125, P<0.05). Logistic regression analysis indicated that abnormal SEP was related to CIA and HTM, whereas abnormal MEP was related to CIA and HTN (P<0.05). Conclusion CIA, HTM, and HTN were possible factors related with IONM in spine surgery under general anesthesia.

Key words: spine and spinal cord surgery, general anesthesia, intraoperative neurophysiological monitoring, somatosensory-evoked potential, motor-evoked potentials

CLC Number:

R651.2

XIONG Weia, WANG Zeng-chuna, ZHANG Jun-weib, WANG Qianga,. Analysis of Abnormalities of Intraoperative Neurophysiological Monitoring in Spine and Spinal Cord Surgery under General Anesthesia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(4): 424-429.

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Analysis of Abnormalities of Intraoperative Neurophysiological Monitoring in Spine and Spinal Cord Surgery under General Anesthesia

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