The invention discloses a detection control device for anesthetics in blood. The detection control device comprises an anesthetic patient blood receiver (BR). Detection limit and qualitative and quantitative analytical concentration of the blood are detected, analyzed and acquired by the aid of an ion mobility spectrometry (IMS) system or a mass spectrometry (MS) system or an ion mobility spectrometry and mass spectrometry (IMS-MS) combination system, so that the requirement of the human blood on an administration concentration analysis range can be met, and an analytical method for quickly detecting the anesthetics in the blood can be created; analysis results are accurately displayed via a computer software system and include pharmacokinetic models and parameters relevant to medicine infusion; a medical target control infusion (TCI) system can be directly guided by the output results, and hardware of the medical target control infusion system comprises medical infusion pumps, a personal computer (PC) and a safety system mechanism, the infusion pumps can run under the control of the personal computer, and the personal computer can be switched off by the safety system mechanism when the errors occur. The detection control device has the advantages that the detection control device can be used easily and conveniently, is speedy, is high in efficiency and good in reliability, can be automatically controlled, can be widely applied to clinical administration depth analysis and can be used for guiding doctors to accurately apply medicine to the blood in an online manner.