摘要
目的探讨基于精准麻醉理念的靶控输注模式在心脏手术麻醉中的效果及安全性。方法选取我院收治的100例心脏手术患者为研究对象,随机分为对照组和观察组,每组50例。比较2组患者手术类型、手术相关指标、麻醉药物使用量及并发症发生情况。结果2组患者实施冠脉搭桥手术、瓣膜手术、大血管手术、房间隔缺损修补手术及其他类型手术方式的比例比较,差异无统计学意义(P>0.05);2组患者手术时间、出血量、输液量、体外循环比例、术后镇痛药物使用次数及机械通气时间比较,差异有统计学意义(P<0.05);观察组各种麻醉药物使用量均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于精准麻醉理念的靶控输注模式用于心脏手术麻醉可减少麻醉药物使用量和术后并发症,提升麻醉效果及手术安全性。
Objective To explore the effect and safety of target controlled infusion mode based on precision anesthesia concept in cardiac surgery anesthesia.Methods A total of 100 patients underwent cardiac surgery in our hospital were selected as the research subjects,and they were randomly divided into the control group and the observation group,with 50 cases in each group.The surgical types,surgical related indicators,dosage of anesthetic drugs,and complications of the two groups were compared.Results There was no statistically significant difference in the proportions of patients who underwent coronary artery bypass surgery,valve surgery,macrovascular surgery,artial septal defect repair surgery,or other types of surgery between the two groups(P>0.05).There were statistically significant differences in the surgical time,bleeding volume,infusion volume,proportion of cardiopulmonary bypass,times of postoperative analgesic drug use and mechanical ventilation duration between the two groups(P<0.05).The usage of various anesthetic drugs in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).The incidence of complication in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The target controlled infusion mode based on precision anesthesia concept can be used for cardiac surgery anesthesia to reduce the dosage of anesthetic drugs and postoperative complications,and improve the anesthesia effect and surgical safety.
作者
韦神桥
黄海清
秦科
毛丙荣
马相飞
吕时甲
赵秀霞
黄利福
WEI Shen-qiao;HUANG Hai-qing;QIN Ke;MAO Bing-rong;MA Xiang-fei;LYU Shi-jia;ZHAO Xiu-xia;HUANG Li-fu(Department of Anesthesiology,the Second Affiliated Hospital of Guangxi Medical University,Nanning Guangxi 530000,China)
出处
《局解手术学杂志》
2023年第12期1076-1079,共4页
Journal of Regional Anatomy and Operative Surgery
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20220654)。
关键词
心脏手术
麻醉
精准麻醉
靶控输注模式
丙泊酚
cardiac surgery
anesthesia
precision anesthesia
target controlled infusion mode
propofol
