小儿脑性瘫痪患者腰骶段选择性后根神经切断术的麻醉处理

• 作者: 王增春 王强
• 来源期刊: 中国临床康复
• 学科: 医学
• 关键词: juvenile cerebral palsy(CP) lumbar and sacral regions( L＆ R) selective posterior rhizotomy(SPR) nerve root electric stimulus (NRES) combined intravenous and inhalation anesthesia (CIIA)
• 年，卷（期）: 2002,（2）
• 所属期刊栏目: English Column(英文专栏)
• 页码范围: 291-292
• 页数: 2页
• 分类号: R74
• 语种: 中文
• DOI: 10.3321/j.issn:1673-8225.2002.02.130

摘要

Objective To summarize the anesthesia techniques performed in the selective posterior rhizotomy(SPR) at lumbar and sacral regions（ L＆ R） on juvenile cerebral palsy(CP) patients. Method 144 CP patients below 10 years were successfully erformed SPR at L＆ R under combined intravenous and inhalation anesthesia (CIIA) in prone position with threshold values of each nerve root being measured by means of nerve root electric stimulus (NRES). Result All patients were performed SPR and NRES successfully although blood pressure and heart rate increased significantly while NRES. Conclusion CIIA is safe and effective for juvenile CP patients to be performed SPR at L＆ R.