中国术中面神经监测抽样调查  

A sampling survey of intraoperative facial nerve monitoring in China

作　　者：赵杨 薛松波 田旭 冯国栋 高志强 Zhao Yang;Xue Songbo;Tian Xu;Feng Guodong;Gao Zhiqiang(Department of Otorhinolaryngology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院耳鼻咽喉科,北京100730

出　　处：《中华耳鼻咽喉头颈外科杂志》2024年第2期122-126,共5页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：财政部、国家卫生健康委医疗服务与保障能力提升项目(Z155080000004);中央高水平医院临床科研专项(2022-PUMCH-B-095)。

摘　　要：目的了解目前国内术中面神经监测(intraoperative facial nerve monitoring,IOFNM)应用情况及相关学科医务人员对其认识情况。方法我们于2022年10月至2023年2月采用网络问卷形式开展此现状抽样调查研究。调查范围包括国内不同地区的不同级别医务人员,涉及科室有耳鼻咽喉科、头颈外科、神经外科、口腔颌面外科。调查内容包括一般信息、IOFNM开展情况、受培训情况,以及IOFNM适应证、监测相关参数和影响条件等。结果共417名,来自31个省市自治区的213家机构的医务人员参与此次调查。共227名(54.4%,227/417)受调查者所在的53家机构(24.9%,53/213)已开展术中面神经监测。所选适应证排名前三的手术分别为听神经瘤手术、腮腺手术和修正性中耳手术(切除乳突)。已开展IOFNM的机构中81.1%(184/227)的医务人员接受过相关的培训或带教,但其中57.3%(130/227)~92.1%(209/227)对IOFNM的记录阈值、刺激电流量、刺激频率、刺激波宽等参数设置表示不清楚。结论国内尚有多数医疗机构未开展IOFNM,且不同医务人员对其认识存在差异,有必要形成相应的行业规范或者共识以促进其更好地开展和应用。Objective This study aims to investigate the current application and the level of knowledge of intraoperative facial nerve monitoring among medical staff in China.Methods A comprehensive online questionnaire was conducted among medical professionals across different regions in China from October 2022 to February 2023.The survey exclusively targeted departments specializing in otolaryngology,head and neck surgery,neurosurgery,and oral and maxillofacial surgery.The questionnaire covered various aspects including general information,intraoperative facial nerve monitoring practices,training history,indications for monitoring,parameters used during monitoring procedures,as well as factors influencing its implementation.Results A total of 417 participants from 31 provincial,municipal,and autonomous regions were included.Intraoperative facial nerve monitoring was found to be implemented in 227(54.4%,227/417)repondents of 53 institutions(24.9%,53/213).The top three indications for implementing this technique were acoustic neuroma,parotid gland surgery,and modified middle ear surgery(mastoidectomy).Herein 81.1%(184/227)medical staff involved in intraoperative facial nerve monitoring had received relevant training,57.3%(130/227)-92.1%(209/227)reported a lack of clear description regarding recording thresholds,stimulation currents/frequencies/wave widths.Conclusion The majority of the institutions surveyed have not yet adopted intraoperative facial nerve monitoring.Furthermore,significant gaps concerning the procedure exist.It is imperative to establish standards or guidelines to promote its better development and application.

关 键 词：面神经 监测 手术中 问卷调查 

分 类 号：R651.3[医药卫生—外科学]