不同麻醉方案在青少年特发性脊柱侧凸术唤醒试验中应用的研究进展  

Application of different anesthesia schemes in wake-up test of adolescent idiopathic scoliosis

作　　者：张百慧 黄瑾瑾[1] 胡瑶琴[1] 朱伟玮 ZHANG Baihui;HUANG Jinjin;HU Yaoqin;ZHU Weiwei(Department of Anesthesiology,Children′s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院麻醉科,杭州310052 [2]浙江大学医学院附属儿童医院骨科,杭州310052

出　　处：《实用医学杂志》2019年第21期3409-3412,共4页The Journal of Practical Medicine

基　　金：国家自然科学基金资助项目(编号：81701944)

摘　　要：脊髓损伤是青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)手术最危险的并发症之一,唤醒试验是术中最直接最有效的监测脊髓功能的方式,需要制定合理的麻醉方案使患者术中苏醒。国内外关于AIS术中唤醒试验有大量的研究,然而并没有明确指南指导麻醉医师使用哪种麻醉方案来进行术中唤醒试验。本文就不同麻醉方案在AIS侧凸手术中唤醒试验中应用的研究进展作一综述,使麻醉医师制定合理的麻醉方案,提高术中唤醒的质量。Spinal cord injury is one of the most dangerous complications in adolescent idiopathic scoliosis surgery.The Wake?up test is the most direct and effective way to monitor spinal cord function during operation.There are a lot of studies on aisle wake?up test in the world,but there is no clear guide to guide anesthesiologists to use which anesthetic scheme to carry out intraoperative wake?up test.This reviews the application of different anesthesia schemes in the wake?up test in adolescent idiopathic scoliosis surgery,in order to help the anesthesiolo?gist develop a reasonable anesthesia plan and improve the quality of intraoperative wake?up.

关 键 词：青少年特发性脊柱侧凸 唤醒试验 全凭静脉麻醉 吸入麻醉 

分 类 号：R61[医药卫生—外科学]