·158·中华医学杂志2023年1月17日第103卷第3期Natl Med」China,January17,2023.Val.103.No.3·标准与规范·颅内动脉瘤术中神经电生理监测中国专家共识(2023版)中国研究型医院学会临床神经电生理专业委员会中国医师协会神经外科医师分会神经电生理学组通信作者：乔慧，首都医科大学北京市神经外科研究所神经电生理室，北京100069，Email:hqiao 1215@sina.com;陈劲草，武汉大学中南医院神经外科，武汉430071，Email:chenjincao2012@163.com;程宏伟，安徽医科大学第一附属医院神经外科，合肥230022，Email:hongwei.cheng@ahmu.edu.cn【摘要】颅内动脉瘤是神经外科常见疾病，术中血管损伤引起术后缺血性并发症，严重影响患者预后。术中神经电生理监测(IONM)能有效识别早期术中缺血，减少相关并发症。中国研究型医院学会临床神经电生理专业委员会和中国医师协会神经外科医师分会神经电生理学组组织了全国神经电生理及脑血管病方面的专家，在回顾国内外已发布的指南共识和临床证据基础上，经过德尔菲专家咨询，制定了本专家共识。形成了常用的1ONM技术及参数设置、围手术期准备与结果解读、不同部位动脉瘤术中电生理监测价值和特殊情况下电生理监测四个方面的共识。并根据GRADE证据等级标准，从上述四个方面给出了9条推荐意见，为临床颅内动脉瘤术中神经电生理监测实践提供参考。【关键词】颅内动脉瘤：术中神经电生理监测：围手术期：专家共识基金项目：首都医学发展科研基金卫生行业科研专项(2018-21075)Chinese expert consensus on intraoperative neurophysiological monitoring of intracranialaneurysms(2023 edition)Clinical Neurophysiology Committee of the Chinese Research Hospital Association;NeurophysiologicalMonitoring Group of the Chinese Medical Doctor Association Neurosurgery BranchCorresponding authors:Qiao Hui,Capital Medical University,Department of Neurophysiology,BeijingInstitute of Neurosurgery,Beijing 100069,China,Email:hqiao1215@sina.com;Chen Jincao,Department of Neurosurgery,Wuhan University Zhongnan Hospital,Wuhan 430071,China,Email:chenjincao2012@163.com.Cheng Hongwei,Department of Neurosurgery,the First Affiliated Hospitalof Anhui Medical University,Hefei 230022,China,Email:hongwei.cheng @ahmu.edu.cnAbstract Intracranial aneurysm is a common disease in neurosurgery,and intraoperativevascular injury causes postoperative ischemic complications that seriously influence patientprognosis.Intraoperative neurophysiological monitoring (IONM)enables effective identification ofearly intraoperative ischemia and thus reduces related complications.The Clinical NeurophysiologyCommittee of the Chinese Research Hospital Association and the Neurosurgeons Branch of theChinese Medical Doctor Association organized national experts in neurophysiology andcerebrovascular disease to develop this expert consensus based on a review of published guidelines,consensuses and clinical evidence both at home and abroad,and after Delphi expert consultation.Aconsensus was formed on four aspects,including commonly used IONM techniques and parameterD01:10.3760/cma.j.cm112137-20220909-01915收稿日期2022-09-09本文编辑朱蹈引用本文：中国研究型医院学会临床神经电生理专业委员会，中国医师协会神经外科医师分会神经电生理学组.颅内动脉瘤术中神经电生理监测中国专家共识(2023版).中华医学杂志，2023,103(3158-166.D01:10.3760/cmaj.cml12137-20220909-01915,
