Mortier E, Moulaert P, de Somer A, Rolly G
Department of Anaesthesiology, State University of Ghent, University Hospital, Belgium.
Eur J Anaesthesiol. 1988 Mar;5(2):131-41.
The relationship of compound electromyography to mechanical myography was investigated in 20 patients given vecuronium in a dose of 0.1 mg kg-1. Mechanical response was affected less quickly and recovered faster than the electrical response. Although there was a good correlation between the two throughout the study, a shift towards mechanical responses was observed in all cases for the onset of blockade and recovery from blockade. Moreover, during recovery the mechanical responses became greater than the control value in all patients. This was also reflected in the statistically significant difference (P less than 0.05) of the regression lines relating tension and electromyography (TI as well as train-of-four ratio) between onset of, and recovery from, neuromuscular block.
对20例静脉注射0.1mg/kg维库溴铵的患者，研究了复合肌电图与机械肌电图之间的关系。机械反应受影响的速度较慢，恢复速度比电反应快。虽然在整个研究过程中两者之间有良好的相关性，但在所有病例中，无论是在神经肌肉阻滞的起效期还是恢复期，都观察到向机械反应的偏移。此外，在恢复过程中，所有患者的机械反应都大于对照值。这也反映在神经肌肉阻滞的起效期和恢复期之间，张力与肌电图（强直收缩张力以及四个成串刺激比值）之间回归直线的统计学显著差异（P<0.05）。
