Application of multimodal neuroelectrophysiological monitoring in anterior cervical surgery
多模式神经电生理监测在颈椎前路手术中的应用

摘要

目的 探讨多模式神经电生理监测在颈椎前路手术中的应用效果。方法 选取2021年9月-2023年4月期间，于我院行颈椎前路手术的患者，将84例用作本项研究调查的对象，以随机数字表法对患者分成对照和观察2组，每组各有42例，观察组患者接受多模式神经电生理监测，对照组患者尚未应用多模式神经电生理监测，对2组患者的手术相关指标、手术前后的VAS、ODI评分等指标进行分析，对比2组数据差异性。结果 观察组患者的术中出血量、住院时间相比对照组患者各项指标均较少，组间数据差异具有统计学意义，（P＜0.05），且2组患者的手术时间相比差异不大，无统计学意义，（P＞0.05）；术前，2组患者的VAS评分、ODI评分相比差异不显著，不具有统计学意义，（P＞0.05），术后相比之下，观察组患者的VAS评分、ODI评分明显优于对照组患者，（P＜0.05）。结论 对于颈椎前路手术患者应用多模式神经电生理监测，可有效的降低患者神经功能损伤，为患者术后恢复提供客观依据，值得推广。

Abstract

Objective To investigate the effect of multimodal neuroelectrophysiological monitoring in anterior cervical surgery.
Methods A total of 84 patients who underwent anterior cervical surgery in our hospital from September 2021 to April 2023 were selected as the objects of this study, and the patients were divided into control and observation groups by random number table method, with 42 cases in each group. Patients in the observation group received multi-mode neuroelectrophysiological monitoring, while patients in the control group had not received multi-mode neuroelectrophysiological monitoring. Surgery-related indicators, VAS before and after surgery, ODI scores and other indicators of the two groups were analyzed, and the data differences between the two groups were compared.
Results The indexes of intraoperative blood loss and hospital stay in the observation group were less than those in the control group, and the data difference between the two groups was statistically significant (P < 0.05). The difference of operation time between the two groups was not significant (P > 0.05), which had no statistical significance. Before surgery, VAS score and ODI score were not significantly different between the two groups (P > 0.05), which had no statistical significance; after surgery, VAS score and ODI score of the observation group were significantly better than those of the control group (P < 0.05).
Conclusion   The application of multi-mode neuroelectrophysiological monitoring in patients undergoing anterior cervical surgery can effectively reduce nerve function injury and provide objective basis for postoperative recovery of patients, which is worthy of promotion.