围术期肌松监测的研究  

Research of Perioperative Muscle Relaxant Monitor

作　　者：罗珺涵 叶继伦 张旭[1,2,3] LUO Junhan;YE Jilun;ZHANG Xu(Shenzhen Key Laboratory for Biomedical Engineering,Shenzhen,518000;Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging,Shenzhen,518000;School of Biomedical Engineering,Shenzhen University,Shenzhen,518000)

机构地区：[1]深圳市生物医学工程重点实验室,深圳市518000 [2]广东省生物医学信号检测与超声成像重点实验室,深圳市518000 [3]深圳大学生物医学工程学院,深圳市518000

出　　处：《中国医疗器械杂志》2020年第3期231-235,275,共6页Chinese Journal of Medical Instrumentation

摘　　要：肌松监测是目前临床麻醉学领域的研究热点,该研究就国内外的研究现状,梳理关于肌松监测的发展历史、检测原理、多种电刺激模式以及多种检测方式,综述并分析了各种检测方式的优缺点及应用现状,为定量评估神经阻滞程度及在麻醉中应用的肌松监测仪器设计提供技术研究方向。同时,提倡临床医生尽可能地在围术期使用定量肌松监测仪,合理地指导肌松药的使用,降低肌松残余作用而引起并发症的风险,为评估患者的肌松状态提供更为科学精确的数字化指导。Muscle relaxant monitor is a research hotspot in the field of clinical anesthesiology. According to the research status at home and abroad, combing the developing history of muscle relaxant monitor, detecting principle, a variety of electrical stimulation mode, and a variety of detection ways, this study reviews and analyzes the advantages and disadvantages of various testing methods and application status, provides technical research foundation for the degree of nerve block for quantitative assessment of muscle relaxant monitor instrument design. Meanwhile, we advocate that clinicians should use quantitative muscle relaxant monitor as much as possible in the perioperative period to reasonably guide the use of muscle relaxants so as to reduce the risk of complications caused by residual effects of muscle relaxants and provide more scientific and accurate digital guidance for assessing the degree of muscle relaxants of patients.

关 键 词：肌松监测 定量评估 肌松残余 神经阻滞 电刺激 

分 类 号：R318.6[医药卫生—生物医学工程] TH782[医药卫生—基础医学]