目的观察宫腔镜手术中使用异丙酚靶控输注的安全性及可行性。方法选择接受宫腔镜手术的患者80例,随机分成对照组和观察组。静脉注射2 μg/kg芬太尼后,对照组给予静脉推注异丙酚2 mg/kg后以80~150 μg/kg·min静脉恒速输注维持麻醉;观察组进行靶控输注(TCI)系统给药,最初以2 μg/mL作为标准浓度,行宫颈扩张时增加到4.7 μg/mL,然后将靶浓度设置在3.3 μg/mL至手术结束。结果两组异丙酚用量比较,差异无统计学意义(P>0.05);观察组意识消失时间、苏醒时间、平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)均高于对照组,差异有统计学意义(P<0.05)。结论运用异丙酚TCI进行宫腔手术麻醉比静脉恒速输注具有意识消失时间短、苏醒快、生命征更平稳等优点。
ObjectiveTo observe the safety and feasibility of propofol TCI in hysteroscopic surgery. MethodsA total of 80 patients with hysteroscopy were randomly divided into control group and observation group. After intravenous injection of 2 g/kg fentanyl, the control group was given intravenous injection of propofol 2 mg/kg to 80-150 μg/kg·min intravenous infusion to maintain constant speed anesthesia; Observation group were administered TCI system with initially 2 μg/mL plasma concentration as the standard, to 4.7 μg/mL when cervical dilation, then rake concentration provided at 3.3μg / mL to the end of surgery. ResultsThe amount of propofol between the two groups was not statistically significant(P>0.05); The unconsciousness time,recovery time, MAP, HR,SpO2 of the observation group were higher than those of control group,the differences were statistically significant (P<0.05 ). Conclusionpropofol TCI used to anesthesia intrauterine operation have the advantage of rapid hypnogigia ,rapid recovery and more smooth of vital sign than intravenous infusion.