| 部分神经肌肉阻滞在神经电生理监测中的应用 |
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| 引用本文： | 李佳玉,王薇,刘俊鹏,宋雪松. 部分神经肌肉阻滞在神经电生理监测中的应用[J]. 国际麻醉学与复苏杂志, 2017, 38(9). DOI: 10.3760/cma.j.issn.1673-4378.2017.09.019 |
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| 作者姓名： | 李佳玉 王薇 刘俊鹏 宋雪松 |
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| 作者单位： | 1. 山西医科大学第二医院麻醉科,太原,030001;2. 吉林大学第一医院麻醉科,长春,130021 |
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| 摘 要： | 背景 在术中神经电生理监测(intraoperative neurophysiologic monitoring,IONM)中,肌肉松弛药(肌松药)由于影响神经肌肉接头兴奋的传递而限制使用. 目的 系统综述部分神经肌肉阻滞(partial neuromuscular blockade,pNMB)对神经电生理监测的影响,详细阐述肌松药在IONM中的应用. 内容 将近年来关于肌松药对IONM的影响及pNMB下的神经电生理监测的文献进行详细整理、系统综述. 趋向 pNMB能为IONM提供良好的监测条件,提高麻醉与手术的安全性.如何合理使用肌松药实现稳定的pNMB还需深入研究和不断探索.
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| 关 键 词： | 麻醉 术中神经电生理监测 肌肉松弛药 肌电图 运动诱发电位 |
Partial neuromuscular blockade use during intraoperative neurophysiologic monitoring |
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| Li Jiayu,Wang Wei,Liu Junpeng,Song Xuesong. Partial neuromuscular blockade use during intraoperative neurophysiologic monitoring[J]. international journal of anesthesiology and resuscitation, 2017, 38(9). DOI: 10.3760/cma.j.issn.1673-4378.2017.09.019 |
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| Authors: | Li Jiayu Wang Wei Liu Junpeng Song Xuesong |
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| Abstract: | Background Muscle relaxants have generally been avoided during intraoperative neurophysiologic monitoring (IONM) as they can block acetylcholine transmission in neuromuscular junction.Objective This article systematically reviewed the effects of partial neuromuscular blockade(pNMB) on neurophysiological monitoring,and summarize the application of muscle relaxants in IONM.Contents This paper summarized the effects of muscle relaxants on IONM and neurophysiological monitoring with the presence of pNMB.Trend pNMB can offer better conditions for monitoring IONM and improve the safety of anesthesia and surgery.Rational use of muscle relaxants to stabilize pNMB still needs further research and exploration. |
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| Keywords: | Anesthesiology Intraoperative neurophysiologic monitoring Muscle relaxant Electromyography Motor evoked potentials |
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