体质指数对人流手术丙泊酚靶控输注效果的影响  

Influence of body mass index on abortion propofol target-controlled infusion

作　　者：陈晓峰[1] 黄维[1] 沈海[1] 陈志远[1] 

机构地区：[1]黄骅市人民医院麻醉科,河北黄骅061100

出　　处：《西部医学》2016年第8期1135-1137,共3页Medical Journal of West China

基　　金：河北省卫生厅科技攻关计划项目(14158)

摘　　要：目的探讨体质指数对人流手术丙泊酚靶控输注(target-controlled infusion,TCI)效果的影响。方法选取我院在全麻下进行人流手术的患者120例,根据其体质指数分为肥胖组(BMI≥28kg/m2)和非肥胖组(BMI<28kg/m2),每组60例。观察患者麻醉期间的诱导、苏醒时间、总药量、麻醉效果,并于唤醒时刻,唤醒后30min、60分钟行视觉模拟评分观察两组患者术后宫缩痛的情况。结果非肥胖组诱导、苏醒时间、用药量均少于肥胖组(P<0.05);麻醉效果非肥胖组优于肥胖组(P<0.05);视觉评分肥胖组在不同时间的评分都高于非肥胖组,差异具有统计学意义(P<0.05)。结论丙泊酚靶控输注用于人工流产手术麻醉时,肥胖的体质指数使麻醉药用量增加,麻醉诱导、苏醒时间延长,影响麻醉效果,并且肥胖组患者术后宫缩痛多于非肥胖组。Objective To investigate the effect of body mass index on abortion propofol target controlled infusion （target-controlled infusion, TCI）. Methods 120 patients under general anesthesia in abortions, according to their body mass index, were divided into obese group （BMI≥28kg/m^2） and non--obese group （BMI 〈28kg/m^2 ）. The induction of anesthesia, recovery time, total dose, anesthetic effect, and wake time, visual analog scale waken after 30min and 60min were observed. Results Awake time and medication volume of non--obese group were less than that of the obese group （P〈0.05）. The anesthetic effect in non-obese group was better than that of obese group （P〈0.05）. The uterine pain visual score at different times in non-obese group was higher than that in non-obese group （P〈0.05）. Conclusion Obese target-controlled infusion of propofol for abortion may increase the amount of anesthetic drugs prolong anesthesia, recovery time and anesthetic effects.

关 键 词：体质指数 人流手术 丙泊酚 靶控输注 

分 类 号：R719.31[医药卫生—妇产科学]