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中华脑科疾病与康复杂志(电子版) ›› 2026, Vol. 16 ›› Issue (04) : 239 -246. doi: 10.3877/cma.j.issn.2095-123X.2026.04.007

综述

神经电生理监测在脑出血手术中的应用前景
周银银1, 罗龙飞1, 王财逢1, 蒋小兵2, 吴浩2, 赵海康2,†()   
  1. 1710038　西安，西安医学院第二临床医学院
    2710038　西安，西安医学院第二附属医院神经外科
  • 收稿日期:2025-09-18 出版日期:2026-08-15
  • 通信作者: 赵海康

Application prospects of neuroelectrophysiological monitoring in cerebral hemorrhage surgery

Yinyin Zhou1, Longfei Luo1, Caifeng Wang1, Xiaobing Jiang2, Hao Wu2, Haikang Zhao2,†()   

  1. 1The Second Clinical Hospital of Xi'an Medical University, Xi'an 710038, China
    2Department of Neurosurgery, The Second Affiliated Hospital of Xi'an Medical University, Xi'an 710038, China
  • Received:2025-09-18 Published:2026-08-15
  • Corresponding author: Haikang Zhao
  • Supported by:
    Technology Innovation Leading Program of Shaanxi(2024RS-CXTD-83); 2023 Shaanxi Provincial College Student Innovation Training Program(S202311840034)
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周银银, 罗龙飞, 王财逢, 蒋小兵, 吴浩, 赵海康. 神经电生理监测在脑出血手术中的应用前景[J/OL]. 中华脑科疾病与康复杂志(电子版), 2026, 16(04): 239-246.

Yinyin Zhou, Longfei Luo, Caifeng Wang, Xiaobing Jiang, Hao Wu, Haikang Zhao. Application prospects of neuroelectrophysiological monitoring in cerebral hemorrhage surgery[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2026, 16(04): 239-246.

脑出血具有高发病率、致残率和死亡率的特点，是神经系统常见的危重疾病。手术是治疗脑出血的主要手段，可显著改善患者预后。神经电生理监测技术通过实时监测神经电活动，为脑出血手术提供精准的功能评估，减少手术相关神经损伤，提高手术安全性和有效性。本文围绕神经电生理监测在脑出血手术中的监测手段、临床价值及现存挑战展开综述，总结技术应用现状并展望未来发展方向，旨在为临床医生开展相关手术诊疗提供理论参考，推动该技术在脑出血外科领域的进一步应用和发展。

关键词: 脑出血, 神经电生理, 手术治疗, 临床应用

Cerebral hemorrhage has a high incidence, disability, and mortality rate, making it a common and critical neurological disease. Surgical treatment is the primary method for treating cerebral hemorrhage and can significantly improve patient prognosis. Neuroelectrophysiological monitoring technology provides precise functional assessment for cerebral hemorrhage surgery by monitoring neuroelectrical activity in real time, reducing surgery-related nerve injury, and improving surgical safety and effectiveness. This article reviews the monitoring methods, clinical value, and existing challenges of neuroelectrophysiological monitoring in cerebral hemorrhage surgery, summarizes the current application status of the technology and looks ahead to future development directions, aiming to provide clinicians with theoretical reference for related surgical diagnosis and treatment and promote further application and development of this technology in cerebral hemorrhage surgery.

Key words: Cerebral hemorrhage, Neuroelectrophysiological, Surgical treatment, Clinical application
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