在老年患者的连续输液后,西普罗的药理动力学和药理动力学
Xiaowen Guo1, Yang Qiao1, Sijie Yin1
1Department of Anesthesiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, China.
新的麻醉剂西普罗对于接受手术的老年患者来说是安全的,注射疼痛最小,血度稳定,与镇静深度相关. 建议在胃肠道瘤手术时使用最佳的维持剂量.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 老年医学 老年医学
背景情况:
- 西普罗是一种新的静脉注射麻醉剂,用于全身麻醉的诱导和维持.
- 在老年患者中,其在连续输液和血度-BIS相关性期间的药理动力学概况以前是未知的.
研究的目的:
- 在老年患者中评估持续输注西普罗的药理动力学.
- 在这个人群中确定罗血度和双光谱指数 (BIS) 之间的相关性.
- 在麻醉期间安全性和有效性方面比较西普罗和普罗波.
主要方法:
- 一项随机对照研究,涉及30名接受胃肠道瘤切除的老年患者.
- 患者通过连续静脉输液接受了普罗波 (N=15) 或西普罗 (N=15).
- 测量包括术后生命体征,注射疼痛,不良事件,BIS值和血度 (LC-MS/MS).
主要成果:
- 两种麻醉剂都降低了血压和心率;西普罗福尔的注射疼痛减少了 (6.7%vs66.7%).
- 两个组的血度在维持期间保持稳定,达到40-60的BIS.
- 确定了西普罗的药理动力学参数,其血度与BIS值线性相关.
结论:
- 西普罗在老年患者的连续输液中是安全有效的,注射疼痛最小.
- 齐普罗的血度与BIS相关性很好,有助于控制镇静.
- 建议在接受胃肠道瘤手术的老年患者使用0.8mg/kg/h的最佳维持剂量.
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