神经电生理监测的影响因素

Influencing factors of intraoperative neurophysiological monitoring

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。

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.