老年髋关节置换术麻醉中应用精准化闭环靶控输注和恒速输注丙泊酚的效果分析  

Analysis of the effect of precise closed loop target controlled infusion and constant speed propofol infusion in anesthesia for elderly hip arthroplasty

作　　者：李庆喜 何伟 李旭辉 Li Qingxi;He Wei;Li Xuhui(Anesthesiology Operation Room,Dongzhimen Hospital,Beijing University of Chinese Medicine,Luoyang Hospital,Luoyang 471003,China)

机构地区：[1]北京中医药大学东直门医院洛阳医院麻醉科手术室,洛阳471003

出　　处：《实用医技杂志》2025年第1期70-74,共5页Journal of Practical Medical Techniques

摘　　要：目的探讨老年髋关节置换术麻醉中应用精准化闭环靶控输注和恒速输注的效果。方法回顾性分析我院在2022年6月至2023年12月期间收治90例老年髋关节置换术临床资料,依据不同麻醉方案分为对照组(47例)、观察组(43例)。对照组接受恒速输注丙泊酚,观察组接受精准化闭环靶控输注。比较2组相关指标。结果观察组患者自主呼吸恢复时间、苏醒时间、拔管时间、定向力恢复时间均比对照组短(P<0.05);观察组患者术后3 h、术后6 h、术后12 h简易智力状态检查量表(MMSE)评分比对照组高(P<0.05);观察组患者麻醉前(T0)、全身麻醉即刻(T1)、术毕(T2)收缩压(SBP)、舒张压(DBP)、心率(HR)变化情况比对照组稳定(P<0.05);观察组患者术后12 h血糖(Glu)、血浆皮质醇(Cor)、肾上腺素(E)水平比对照组低(P<0.05);观察组患者术后并发症总发生率比对照组低(P<0.05)。结论精准化闭环靶控输注丙泊酚麻醉效果优于恒速输注,可促进老年髋关节置换术患者麻醉复苏,改善认知功能,稳定血流动力学,减轻应激反应,存在较高安全性。Objective To investigate the effects of precise closed loop target controlled infusion and constant velocity infusion in anesthesia for elderly hip arthroplasty.Methods Clinical data of 90 elderly patients undergoing hip replacement in our hospital from June 2022 to December 2023 were retrospectively analyzed,and they were divided into control group(n=47)and observation group(n=43)according to different anesthesia protocols.The control group received constant speed infusion of propofol,and the observation group received precision closed-loop target controlled infusion.Compare the The two groups of relevant indicators were compared.Results The recovery time of spontaneous respiration,awakening time,extubation time,and recovery time of orientation of patients in the observation group were shorter than thatose of the control group(P<0.05);the score of the Brief Mental State Examination Scale(MMSE)of patients in the observation group was higher than that of the control group at 3 h,6 h,and 12 h postoperatively(P<0.05).The score of the patients in the observation group was higher than that of the control group.iIn terms of T0,T1,and T2 systolic blood pressure(SBP,DBP),heart rate(HR),and heart rate(HR),and heart rate(HR)were more stable than the control group(P<0.05).The 12-hour postoperative blood glucose(Glu),plasma cortisol(Cor),and adrenaline(E)levels of patients in the observation group were lower than those of the control group(P<0.05);and the total incidence of postoperative complications in patients in the observation group was lower than that of the control group(P<0.05).Conclusion Precision closed-loop target-control infusion of propofol has a better anesthetic effect than constant-rate infusion,which can promote anesthetic resuscitation,improve cognitive function,stabilize hemodynamics,and reduce stress reactions in elderly hip arthroplasty patients with a high degree of safety.

关 键 词：人工关节置换术 髋关节 麻醉复苏 丙泊酚 靶控输注 

分 类 号：R47[医药卫生—护理学]