本文選題：運(yùn)動(dòng)誘發(fā)電位 + 全麻誘導(dǎo)��； 參考：《臨床麻醉學(xué)雜志》2017年02期

【摘要】：目的探討不同劑量順式阿曲庫銨對神經(jīng)外科手術(shù)運(yùn)動(dòng)誘發(fā)電位(motor evoked potentials,MEPs)的影響。方法選擇擇期行MEPs監(jiān)測的脊髓脊柱手術(shù)患者60例,男36例,女24例,年齡18~65歲,ASAⅠ或Ⅱ級。隨機(jī)分為三組,在麻醉誘導(dǎo)后5s內(nèi)單次靜脈推注順式阿曲庫銨0.1mg/kg(A組)、0.15mg/kg(B組)和0.2mg/kg(C組),采用Cascade Elite 32通道監(jiān)測儀進(jìn)行MEPs監(jiān)測,給肌松藥后每隔2分鐘刺激電極1次,記錄引出MEPs波形的時(shí)間。采用Cooper評分法評價(jià)氣管插管條件。結(jié)果 C組引出MEPs波形的時(shí)間明顯長于A組[(39.60±1.79)min vs.(20.10±1.89)min,P0.05],C組引出MEPs波形的時(shí)間明顯長于B組[(39.60±1.79)min vs.(20.50±1.93)min,P0.05]。B組氣管插管條件明顯優(yōu)于A組(100%vs.65%,P0.05),C組氣管插管條件明顯優(yōu)于A組(100%vs.65%,P0.05)。結(jié)論全麻誘導(dǎo)使用順式阿曲庫銨0.15mg/kg引出MEPs波形所需時(shí)間短,氣管插管條件較優(yōu),是行MEPs監(jiān)測的神經(jīng)外科手術(shù)麻醉誘導(dǎo)中較合適的順式阿曲庫銨劑量。
[Abstract]:Objective to investigate the effects of different doses of cis-atracurium on motor evoked potential (motor evoked) in neurosurgery. Methods A total of 60 patients (36 males and 24 females) undergoing spinal cord surgery were selected for MEPs monitoring. The age of ASA 鈪，

本文編號(hào)：2055196