Application value of intraoperative neuroelectrophysiological monitoring technique in patients undergoing spinal surgery
Objective To investigate the application value of intraoperative neuroelectrophysiological monitoring(IONM)in patients undergoing spinal surgery,in order to provide guidance for improving the effectiveness and safety of spinal surgery.Methods A total of 200 patients who were planned to undergo spinal surgery were selected from Xi'an Honghui Hospital and Xi'an Daxing Hospital from May 2022 to May 2023.The patients were randomly divided into an intraoperative monitoring group and a reference group with 100 cases in each group by the computer numbered odd-even number method.There were 55 males and 45 females in the intraoperative monitoring group,aged 32-74(58.92±10.35)years,with a body mass index(BMI)of 18-30(23.15±2.09)kg/m2.There were 57 males and 43 females in the reference group,aged 33-73(59.14±10.62)years,with a BMI of 18-30(23.27±2.15)kg/m2.Conventional spinal surgery was performed in both groups.IONM technique was applied in the monitoring group,while no IONM technique was applied in the reference group.The perioperative indexes,spinal cord nerve function(evaluation time was 1 day before surgery and 7 days after surgery),serum inflammatory factors(evaluation time was 1 day before surgery and 1 day after surgery),and postoperative complications were compared between the two groups.Statistical methods used were x2 test and t test.Results The time of postoperative anal exhaust,the time of getting out of bed,and the length of hospital stay in the monitoring group were shorter than those in the reference group[(10.84±1.56)hours vs.(15.20±2.30)hours,(3.84±0.69)days vs.(5.71±0.83)days,(9.47±1.66)days vs.(12.84±2.30)days],with statistically significant differences(t=15.69,17.33,and 11.88,all P＜0.05).The Japanese Orthopaedic Association Evaluation Treatment Score(JOA)of the two groups 7 days after surgery were higher than those 1 day before surgery(both P＜0.05),and that in the intraoperative monitoring group was higher than that in the reference group[(25.94±2.30)points vs.(21.50±2.57)points],with a statistically significant difference(t=12.87,P＜0.05).The incidence of postoperative complications in the monitoring group was lower than that in the reference group[6.00％(6/100)vs.20.00％(20/100)],with a statistically significant difference(x2=8.67,P＜0.05).The levels of serum inflammatory factors in the two groups 1 day after surgery were higher than those 1 day before surgery,but those in the monitoring group were lower than those in the reference group(all P＜0.05).Conclusion The application of IONM technology in spinal surgery can promote the patients'early recovery,improve the spinal nerve function,reduce the risk of complications,and alleviate the inflammation.
万方数据
维普
