通过闭环麻醉输送系统进行的静脉全麻醉期间对普罗波福尔需求的性别差异:一项观察性研究
Nitin Sethi1, Amitabh Dutta2, Priyanka S1
1Institute of Anesthesiology, Pain, and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Minerva anestesiologica
|November 26, 2025
概括
在自动静脉全麻醉 (TIVA) 期间,女性消耗了更多的普罗波,但恢复速度比男性快. 这项研究强调了自动化麻醉输送系统的性别特定的propofol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.
- 医疗技术 医疗技术 医学技术
背景情况:
- 性别影响了在麻醉期间的propofol消费.
- 关于使用普罗波福的性别差异的先前研究仅限于手动输注或目标控制输注.
- 自动化麻醉输送系统需要对性别特定的propofol消费进行验证.
研究的目的:
- 为了评估性别对自动化全静脉麻醉 (TIVA) 期间的propofol消费的影响.
- 用闭环麻醉输送系统 (CLADS) 来评估与性别相关的恢复时间和麻醉深度的一致性.
主要方法:
- 80名患者被划分为男性和女性组,通过CLADS接受自动化TIVA普罗波.
- 分析了propofol消耗 (诱导和维护),麻醉深度,血液动力学和恢复参数.
- 瘦身体重被用来调整醇消耗计算.
主要成果:
- 在调整为瘦身体重 (P<0.001) 时,女性在诱导和维持过程中显示出明显更高的propofol消耗量 (P<0.001).
- 根据总体体重,没有观察到醇消耗的显著差异.
- 女性的眼睛打开时间显著缩短 (P<0.001) 和气管口 (P=0.010).
结论:
- 在自动化TIVA过程中,女性需要更高的propofol剂量用于诱导和维护.
- 尽管消费量更高,但女性在麻醉后的恢复速度更快.
- 研究结果表明,对于自动化TIVA的propofol,可能需要针对性别进行特定的调整.
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