靶控输注丙泊酚麻醉下穿刺硬化治疗卵巢囊肿  

Application of target-controlled infusion with Propofol to sclerotherapy of ovarian cysts

作　　者：任广理[1] 

机构地区：[1]解放军第254医院麻醉科,天津300142

出　　处：《临床军医杂志》2013年第9期896-897,901,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨在超声引导下穿刺硬化治疗卵巢囊肿中丙泊酚靶控输注麻醉的效果和安全性。方法选择在超声引导下行经阴道介入穿刺硬化治疗的80例卵巢囊肿患者,将其分为靶控丙泊酚组(A组)和恒速输入组(B组),记录患者麻醉前,手术中不同时点平均动脉压、心率、血氧饱和度、脑电双频指数(BIS)值、苏醒时间、准确定位时间、体动次数、呼吸抑制及丙泊酚总用量。结果两组患者均顺利完成手术,与B组比较,A组的方法对循环和呼吸影响更小,A组患者苏醒时间缩短,丙泊酚用量减少(P<0.05)。结论靶控输注丙泊酚可提高麻醉效果与安全性。Objective To discuss the efficacy and safety of target-controlled infusion （TCI） with Propofol to the ultrasound-guided sclerotherapy of ovarian cysts. Methods Eighty patients with ovarian cysts, due to undergo the ultrasound-guided sclerotherapy of ovarian cysts, were randomly divided into two groups, i.e. Group A （TC[ of Propofol） and Group B （continuing infusion of Propo- fol）. Before anesthesia and during operation, the parameters, such as blood pressure （ BP）, heart rate （ HR）, pulse oxygen satu- ration （ SpO2 ）, bispectral （BIS） index, time of wake-up, orientation time, body movement, incidence of intraoperative respiratory depression and total amount of Propofol, were recorded. Results Compared with that in Group B, the anesthetics used in Group A had less effect on cardiovascular and respiratory systems, and the time of wake-up and the total amount of Propofol were also less in Group A （ P 〈 0.05 ）. Conclusion The value of TCI Propofol is to increase the efficacy and the safety in anesthesia.

关 键 词：靶控输注 二异丙酚 卵巢囊肿 超声引导 脑电双频指数 

分 类 号：R971.2[医药卫生—药品]