老年髖關(guān)節(jié)置換術(shù)麻醉中應(yīng)用精準(zhǔn)化閉環(huán)靶控輸注和恒速輸注丙泊酚的效果分析

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Analysisof the effect of precise closed loop target controlled infusion andconstant speed propofol infusion in anesthesia for elderly hip arthroplasty

LiQingxi，HeWei，LiXuhui

AnesthesiologyOperationRoom，Dongzhimen Hospital，Beijing UniversityofhineseMedicine，LuoyangHospital，

Luoyang 471003， China

【Abstract】Objective To investigate the effects of precise closed loop target controlled infusion and constantvelocityinfusion inanesthesia for elderly hiparthroplasty.MethodsClinicaldataof9O elderlypatients undergoing hip replacement inour hospital from June 2O22 to December 2023 were retrospectively analyzed，and theyweredivided into control group（ n=47 ）andobservation group （n=43） according to different anesthesia protocols. The control group received constant speed infusion of propofol，and the observation group received precision closedloop target controlled infusion.Compare the The two groups of relevant indicators were compared.ResultsThe recovery timeof 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 theobservation group was higher than that of thecontrol 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 TO，T1，and T2 systolic blood pressure （SBP，DBP），heartrate （HR），and heart rate（HR），and heart rate（HR）weremore stable than the control group （ P<0.05 ）.The12-hourpostoperative blood glucose （Glu），plasma cortisol（Cor），andadrenaline （E）levels of patients intheobservationgroup 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 targetcontrol infusionof propofol has abetteranesthetic efect than constant-rate infusion，which can promote anesthetic resuscitation，improvecognitivefunction，stabilize hemodynamics，andreducestressreactions inelderly hip arthroplasty patients with a high degree of safety.

【Key Words】Artificial joint replacement； Hip joint；Anesthesia recovery； Target-controlled infusion DOI：10.19522/j.cnki.1671-5098.2025.01.017

老年髖關(guān)節(jié)置換術(shù)屬臨床應(yīng)用頻率相對較高骨科手術(shù)，類風(fēng)濕髖關(guān)節(jié)炎、股骨頭壞死等均為適用疾病，此類疾病導(dǎo)致患者出現(xiàn)髖關(guān)節(jié)疼痛、功能障礙，日常行動力、生活質(zhì)量均受到不良影響[1]。（剩余6348字）