摘要:神经监测在颈椎手术中的应用中运动诱发电位的监测是必不可少的，皮层运动诱发电位监测(MEP)是通过对大脑运动皮层的刺激，在锥体束或骨骼肌上记录的电反应[1]。但MEP监测对操作技术和周围环境要求较高，且受麻醉药物影响较大，特别对肌松剂要求较高，本文主要介绍麻醉药物对运动诱发电位监测的影响和我院现行的对策。
Abstrct: The application of motor evoked potential monitoring is necessary in cervical asurgery. The MEP monitoring need higher requirement for operating skills and environment, and is often effected by anesthetics, particularly the muscle relaxant. This paper introduced the effect to MEPs with anesthetics and the recent strategy of the treatment.
[1] 汤小芙 .临床肌电图学 . 北京医科大学、中国协和医科大学联合出版社， 1995:100-50[J].临床肌电图学, 1995, 100(2):50-51
[2]Phillips LH, Blanco JS, Sussman MD.Direct spinal stimulation for intraoperative monitoring during scoliosis surgery[J].Muscle Nerve, 1995, 18(3):319-325
[3]Toleikis JR, Carlvin AO, Shapiro DE, et al.The use of dermatomal evoked responses during surgical procedures that use intrapedicular fixation of the lumbosacral spine[J].Spine, 1993, 18(16):2401-2407
[4]李传翔，宋伏虎，王怡，金大地，陈力，宋冬梅.不同肌松程度对脊柱手术皮层体感诱发电位的检测；中国中西医结合外科杂志；2011.4，17（2）：168-170[J].中国中西医结合外科杂志, 2011, 17(2):168-170
[5] Dunne JW, Field CM.The value of non-invasive spinal cord monitoring during spinal surgery and interventional angiography. Clin Exp Neurol, 1991, 28:199-209[J].Clin Exp Neurol, 1991, 28(2):199-209
[6]Salzman SK, Dabney KW, Mendez AA, et al.The somatosensory evoked potential predicts neurologic deficits and erotonergic pathochemistry after spinal distraction injury in experimental scoliosis[J].J Neurotrauma, 1988, 5(3):173-176
[7]Nuwer MR.Use of somatosensory evoked potentials for intraoperative monitoring of cerebral and spinal cord function. Neurol Clin, 1988 6(4):881-97[J].Neurol Clin, 1988, 6(4):881-882
[8]Robinson LR, Slimp JC, Anderson PA, et al.The efficacy of femoral nerve intraoperative somatosensory evoked potentials during surgical treatment of thoracolumbar fractures. Spine, 1993; 18(13):1793-7[J].Spine, 1993, 18(13):1793-1794
[9] 王巧恒，左明章，谢红雯，刘树山.麻醉深度与肌松程度对运动诱发电位影响 的比较[J]；临床麻醉学杂志；2003（2）[J].临床麻醉学杂志, 2003, 28(2):25-27
[10] 张镛福，叶衍庆，过邦辅.脊髓损伤的电生理方法测定(Ⅱ)[J]；国际骨科学杂志; 1983（3）[J].国际骨科学杂志, 1983, 16(3):88-90
