摘要
目的 综合分析体感诱发电位(somatosensory evoked potential,SEP)术前、术中、术后时限及波幅的改变,评估与分析脊柱脊髓手术患者的神经功能状态与影响因素。方法 选取河北医科大学第三医院收治的50例脊柱脊髓手术患者作为研究对象,术前、术中、术后进行体感诱发电位检查及检测,记录结果并进行统计。结果 SEP术中左下肢、右下肢潜伏期均较术前延长,差异有统计学意义(P <0. 05);左下肢、右下肢波幅术中与术前差异无统计学意义(P> 0. 05)。术后潜伏期左下肢、右下肢均短于术前,差异有统计学意义(P <0. 05);波幅左下肢、右下肢均高于术前,差异有统计学意义(P <0. 05)。结论 脊柱脊髓手术术前、术中和术后体感诱发电位的监测,能够及时掌握神经功能状态,促进手术的顺利进行。
Objective To analyze the changes in the duration and amplitude of somatosensory evoked potential before,during and after surgery,and to evaluate the neurological status of recipients of spinal cord surgery and influencing factors.Methods Fifty recipients of spinal cord surgery admitted to the Third Hospital of Hebei Medical University between June 2017 and December 2017 were selected as the subjects,among whom preoperative,intra-operative and postoperative somatosensory evoked potential examinations were performed and the results were recorded and statistically analyzed.Results The SEP latency of the left lower extremity and the right lower extremity was longer than that of the preoperative period(P<0.05).There was no significant difference between SEP amplitudes of the left lower extremity and the right lower extremity(P>0.05).The SEP latency of the left lower limb and the right lower limb was shorter than before surgery(P<0.05).The SEP amplitude of the left lower limb and the lower right limb was higher than before surgery(P<0.05).Conclusions The monitoring of somatosensory evoked potential before,during and after spinal cord surgery can help to keep track of the neurological function,facilitate surgery and assess postoperative neurological recovery.
作者
沈强
朱玲
白雪
于绍斌
刘凤欣
SHEN Qiang;ZHU Ling;BAI Xue;YU Shaobin;LIU Fengxin(Hebei Provincial Corps Hospital of Chinese People’s Armed Police Force,Shijiazhuang 050081,China;The Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)
出处
《武警医学》
CAS
2019年第12期1051-1053,共3页
Medical Journal of the Chinese People's Armed Police Force
基金
河北省医学科学研究重点课题计划( 20170134).
关键词
脊柱脊髓手术
围术期
体感诱发电位
神经功能恢复
spinal cord surgery
perioperative periods
somatosensory evoked potential
restoration of neurological function
