| CSEP在脊柱手术监护中假阳性、假阴性原因分析 |
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Received:April 01, 1998
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈裕光 |
CHEN Yu guang |
中山医科大学第一附属医院,广东广州510080 |
The First Affiliated Hospital,Zhongshan Medical College Guangdong Guangzhou,510080 |
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| 李佛保 |
LI Fo bao |
中山医科大学第一附属医院,广东广州510080 |
The First Affiliated Hospital,Zhongshan Medical College Guangdong Guangzhou,510080 |
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| 万勇 |
WAN Yong |
中山医科大学第一附属医院,广东广州510080 |
The First Affiliated Hospital,Zhongshan Medical College Guangdong Guangzhou,510080 |
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| 何爱珊 |
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中山医科大学第一附属医院,广东广州510080 |
The First Affiliated Hospital,Zhongshan Medical College Guangdong Guangzhou,510080 |
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| 期刊信息：《中国骨伤》2000年13卷，第3期，第136-138页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:分析在脊柱手术监护中CSEP出现假阳性和假阴性的原因。
方法:本组63例,分成三组:脊柱畸形组,脊柱骨病并脊髓损害组,臂丛神经根损伤组。分别施以手术治疗,术中测定CSEP来监测脊髓功能。
结果:术中诸多因素可引起CSEP变化,其中麻醉因素包括不同麻醉方法、不同麻醉药物和不同的药物浓度,而非手术操作因素包括血压变化、不同肢体神经记录、手术室周围电器干扰、刺激器无效、记录电极故障及麻醉不全致病人躁动。
结论:脊柱手术中用CSEP监护有敏感性和可靠性,但需及时准确鉴别CSEP变化是否是假阳性或假阴性,这样,才能提高CSEP监护的临床意义。 |
| [关键词]:脊柱融合术 诱发电位 监护 |
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| False Positive Reaction and False Negative Reaction of CSEP in the course of Spinal Operation |
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Abstract:
Objective:To analyze the factors causing false positive reaction and false negative reaction of CSEP in spinal operation.
Methods:63 cases undergone spinal sergery were divided into three group:deformity of spine,spine osteopathy combined with spinal cord lesion,brachial plexus injury.Intraoperative monitoring was done by CSEP.
Results:During the operation,many factors affected the change of CSEP.One factor was anesthesia,such as anesthesia methods,narcotic and drug concentration.The other factors were not related to operation technique,they were the changes of blood pressure,record of the same contralateral nerve,disturbance of electric appliances around the operating room,no power in the electric irritant,wrong with recording electrodes and mania of the patient caused by incomplete anesthesia.
Conclusion:CSEP can be used in spinal operation,but the false positive reaction and false negative reaction of CSEP should be timely detected. |
| KEYWORDS:Spinal fusion Evoked potential Custodial care |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈裕光,李佛保,万勇,何爱珊.CSEP在脊柱手术监护中假阳性、假阴性原因分析[J].中国骨伤,2000,13(3):136~138 |
| 英文格式: | CHEN Yu guang,LI Fo bao,WAN Yong.False Positive Reaction and False Negative Reaction of CSEP in the course of Spinal Operation[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(3):136~138 |
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