《异丙酚TCI模式和TIVA模式麻醉泵用于人流的麻醉效果分析》.docx

异丙酚TCI模式和TIVA模式麻醉泵用于人流的麻醉效果分析 BACHELOR S THESIS OF HUBEI UNIVERSITY FOR NATIONALITIES TCI of propofol and propofol TIVA modemodel for Effect of induced abortion (Department) name of the College of Medicine Professional Medical (Anesthesia direction) Name of Student Long Xiang Hu Ying instructor 摘要 Abstract 1— 刖5 TOC \o 1-5 \h \z \o Current Document 1材料与方法 3 1分组 3 2麻醉方法 3 1.3观察指标 3 1.4统计学分析 3 \o Current Document 2结果 4 1麻醉后B1S比较 4 2.2麻醉后HR、血压、DBP、SB1\ SP02比较 4 2.3恢复期不良反应比较 4 2.4界丙酚剂量比较 4 3结论与讨论 5 参考文献 声明 致谢 目的 观察使用IVACR TCITIVAMARKII麻醉泵，比较异丙酚的靶浓度控制输注TCI 模式与全凭静脉麻醉(total Intravenous controled anesthesia, T1VA)T1VA 模 式用于人工流产麻醉的临床效果，研究界丙酚的两种持续输注方式中，TCI模式是 否比TIVA模式更有益于临床。方法 选择60例孕5—11周自愿施行人工流产术的 病例，随机分为TCI组和TIVA组，TC1组行丙泊酚TC1全身静脉麻醉，TIVA组行 恒速输注全身静脉麻醉，记录两组患者麻醉前、手术前、扩宫颈、吸宫、手术结 束的BIS、心率(HR)、收缩压(SBP)、舒张压(DBP)、血氧饱和度(SP02)；意识恢复 时，即对语言指令有正确反应和定向力恢复时间(从末次界丙酚停药起)，记录患 者的呼之反应时间、离院时间、恢复期不良反应(有腹痛、恶心呕吐等)；界丙酚 的用量及手术总时间。结果在麻醉深度方面，异丙酚TCI及BIS值反馈控制，克 服了患者对界丙酚药效的个体差界，使界丙酚剂量更加个体化，从而保证麻醉过 程平稳。TC1组血压在手术结束时恢复到术前水平，而T1VA组未能恢复。TC1组 体动反应和术后恢复期不良反应较TIVA组易于控制和掌握，术后不良反应少，适 宜于临床推广。 关键词：瑞芬太尼；丙泊酚；TCI；全身静脉麻醉 Abstract Objective To observe IVACR TCI amp; TIVA MARK II anesthesia pump, compared with a target concentration infusion of propofol TCI mode and total intravenous anesthesia (total Intravenous controled anesthesia, TIVA) TIVA mode of anesthesia used in the clinical effect of induced abortion, continuous infusion of propofol in two ways, TCI TIVA mode mode is more useful than clinical. Methods 60 cases of pregnancy weeks of a voluntary implementation 5-11 induced abortion cases were randomly divided into two groups and the TIVA group TCI, TCI group underwent TCI intravenous propofol anesthesia, TIVA group received constant infusion of intravenous anesthesia, record systolic blood pressure prior to surgery, dilatation, suction evacuation, the end of operation of BIS, heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP)，oxygen saturation (SP02); sense of recovery, langua