摘要： 神经电生理监测技术是术中脑功能区定位技术的金标准。综合唤醒手术、术中感觉运动诱发电位监测、术中皮质电刺激与皮质下电刺激等电生理学技术，可实现术中脑功能区皮质及皮质下功能通路的精确定位和实时保护。复旦大学附属华山医院根据既往多年临床实践，制定了适用于本单位的《术中神经电生理监测临床实践规范》，其内容涵盖各类常见神经外科疾病的术中神经电生理监测技术标准和操作规范，已经在本院临床应用，切实提高了手术疗效。

关键词: 电生理学； 监测, 手术中； 脑疾病； 神经外科手术； 参考标准

Abstract: Intraoperative neurophysiological monitoring (IONM) is the gold standard of the intraoperative functional brain mapping. It employs various electrophysiological methods such as awake craniotomy, intraoperative somatosensory and motor evoked potentials monitoring, intraoperative cortical stimulation and sub-cortical stimulation to accurately map the cortical and sub-cortical nervous pathways so that the continuous assessment and real -time protection of the functional integrity of certain neural structures can be achieved during surgery. Based on decades of clinical practice, the Department of Neurosurgery of Shanghai Huashan Hospital has set up an "IONM clinical practice guideline" used in the institute. The clinical practice guideline covers technical and operation standards of IONM in all kinds of common neurosurgery diseases and does improve the clinical efficacy in neurosurgical procedures.

Key words: Electrophysiology, Monitoring, intraoperative, Brain diseases, Neurosurgical procedures, Reference standards