《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (03): 279-280.

• 临床研究 • 上一篇    下一篇

肌松剂对神经外科功能区肿瘤皮层运动诱发电位监测的影响

阚清;韩如泉   

  1. 首都医科大学附属北京天坛医院麻醉科，北京市 100050
  • 收稿日期:2008-12-09 出版日期:2009-03-01 发布日期:2009-03-01

Effects of Muscle Relaxants on Motor Evoked Potentials Monitoring during Intracranial Surgery in Functional Area

KAN Qing, HAN Ru-quan   

  1. Department of Anesthesiology, Beijing Tiantan Hospitail, Capital Medical University, Beijing 100050, China
  • Received:2008-12-09 Published:2009-03-01 Online:2009-03-01

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摘要： 目的 总结肌松剂对实施神经外科功能区肿瘤手术中进行皮层运动诱发电位监测的影响。方法 对择期神经外科手术62例按麻醉诱导后到皮层运动诱发电位监测之间是否应用肌松剂，分为两组：无肌松剂组（21例）和肌松剂组(41例)。观察运动诱发电位监测成功率。结果 无肌松剂组成功率76.2%，肌松剂组成功率41.5%(P<0.05)。结论 在皮层运动诱发电位监测过程中，麻醉时应尽量避免使用肌松剂。

关键词: 神经肿瘤, 神经外科, 功能区, 麻醉, 肌松剂, 运动诱发电位(MEPs), 监测

Abstract: Objective To investigate the effects of muscle relaxants on motor evoked potentials (MEPs) monitoring during intracranial surgery. Methods 62 patients with neurological tumor were divided into 2 groups: muscle relaxant group (n=21) and non-muscle relaxant group (n=41). The incidence of successful MEPs monitoring was investigated. Results The incidence of successful MEPs monitoring was 76.2% in the muscle relaxant group and 41.5% in the non-muscle relaxant group (P<0.05). Conclusion Muscle relaxants can affect the MEP monitoring, which would not be administered as possible during anesthesia for intracranial surgery in functional area.

Key words: neurological tumor, intracranial surgery, functional area, anesthesia, muscle relaxants, motor evoked potentials (MEPs), monitoring