丙泊酚个体化靶向控制输注在全身静脉麻醉中的应用效果观察  

Clinical observation of targeted controlled infusion of propofol in general intravenous anesthesia

作　　者：廖飞[1] 陈静宜[1] 朱雁鸿[1] 陈粤丽[1] 周云[1] 卢敏[1] 

机构地区：[1]昆明医科大学第六附属医院暨玉溪市人民医院麻醉科,云南玉溪653100

出　　处：《临床医学》2017年第8期34-36,共3页Clinical Medicine

摘　　要：目的观察丙泊酚个体化靶向控制输注(TCI)在全身静脉麻醉中的应用效果。方法选择60例全凭静脉麻醉患者,随机分为个体化TCI组和常规TCI组,每组30例,记录两组患者麻醉期间血流动力学变化、麻醉药用量、插管和拔管时有无不良反应。结果个体化TCI组围麻醉期血流动力学相对常规TCI组变化较小,麻醉诱导平稳,苏醒快而安静,丙泊酚使用少。结论在全身静脉麻醉中,相比较丙泊酚常规TCI,丙泊酚个体化TCI能够使患者在麻醉期间血流动力学更加平稳,苏醒更快,并且使用药物更少,体现了个体化给药的优势。Objective To observe the application effect of targeted controlled infusion（ TCL） of propofol in general intravenous anesthesia. Methods Sixty patients of general intravenous anesthesia were randomly divided into two groups：individual TCI group（ n = 30） and conventional TCI group（ n = 30）. Patients in the two groups were recorded the hemodynamic changes,anesthetic dosage,the adverse reaction of intubation and extubation during anesthesia. Results Compared with the conventional TCI group,the hemodynamic changes of the individual TCI group was smaller,induction of anesthesia was more stable,anesthesia recovery was faster and more quiet,the dosage propofol was less. Conclusions In general intravenous anesthesia,compared to conventional TCI of propofol,the individual TCI of propofol can make hemodynamics of patients more stable,faster recovery and less dosage of propofol during anaesthesia.

关 键 词：丙泊酚 个体化靶向控制输注 常规靶向控制输注 全身静脉麻醉 

分 类 号：R614.2[医药卫生—麻醉学]