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高选择性脊神经后根切断术即SPR手术，是目前治疗痉挛型脑瘫的有效方法之一，如何麻醉才能满足手术的要求。本文总结了我院530例脑瘫痉挛型患儿的麻醉，以探讨麻醉方法的选择及术中管理问题，采用的方法是快速诱导插管后，给予1％普鲁卡因和七氟醚吸入维持，着重视察插管前后和俯卧位前后的HR、NIBP、SaO2等，同时用TOFGuard加速度仪测定拇指内收肌的收缩反应，以判断麻醉深度。笔者认为插管前后及置俯卧位前后循环的变化显著，须给予对症处理，得出静注阿曲库铵0．5mg／kg或琥珀酰胆碱1．0mg／kg所达到的肌松程度，可以很好的满足SPR测试的要求，认为依托咪酯、芬太尼、卡肌宁的配伍使用对循环的影响很小，得出结论是静吸复合麻醉可以满足脑瘫SPR手术的要求。
High selective posterior rhizotomy spinal nerve root canal surgery or SPR surgery, is currently an effective method of treatment of spastic cerebral palsy, how to anesthesia to meet the requirements of surgery. This article summarizes the anesthesia of 530 children with cerebral palsy spasticity in our hospital to explore the choice of anesthesia methods and intraoperative management, the method used is rapid induction of intubation, given 1% procaine and sevoflurane inhalation to maintain , Focus on before and after intubation and prone position before and after HR, NIBP, SaO2, etc., while using the TOFGuard accelerometer measured thumb adductor muscle contraction response to determine the depth of anesthesia. I believe that before and after intubation and prone position before and after the cycle of significant changes must be given symptomatic treatment, drawn intravenous injection of atracurium 0.5mg / kg or succinylcholine 1.0mg / kg of muscle relaxants reached, Can well meet the SPR test requirements, that the compatibility of etomidate, fentanyl, card muscle rather on the cycle has little effect, concluded that the combination of static inhalation anesthesia can meet the requirements of SPR for cerebral palsy.