摘要
目的:观察每日唤醒计划在机械通气患者镇静过程中的实施和护理。方法:严格按照随机化的原则将69例进行机械通气的清醒患者按照护理方法不同分为3组:间断镇静组23例、持续镇静组23例和每日唤醒组23例,3组均给予咪唑安定镇静治疗,比较3组镇静时间、机械通气时间、ICU住院时间、总住院时间、镇静药物用量、气管切开及呼吸机相关性肺炎(VAP)发生率、二氧化碳分压(PCO2)等指标。结果:每日唤醒组镇静时间、机械通气时间、住ICU时间、总住院时间、镇静药物用量、二氧化碳分压、气管切开率及VAP发生率均低于间断镇静组和持续镇静组(P<0.05)。结论:每日唤醒镇静治疗有利于机械通气患者减少镇静时间、机械通气时间、ICU住院时间、总住院时间、镇静药物用量等,极大程度地避免了药物蓄积和并发症的发生。
Objective To observe the implementation and care of daily wake program and sedation process in mechan- ically ventilated patients. Methods Sixty-- nine patients were randomized into three groups., intermittent sedation group （n = 23）, continuous sedation group（n = 23）and daily wake--up group （n=23）. The three groups were given imidazole sedation treatment,then the sedation time, duration of mechanical ventilation, ICU length of stay, total hospitalization time,amount of sedative drugs, tracheostomy and ventilator-- associated pneumonia （VAP） incidence, carbon dioxide partial pressure （PCO2） and other indicators were compared among the three groups. Results In the daily wake-- up group the sedation time, duration of mechanical ventilation, ICU stay, total hospitalization time, amount of sedative drugs, carbon dioxide partial pressure, tracheotomy and VAP rates were lower than those in intermittent and continuous sedation group（P^0.05）. Conclusions Daily wake sedation therapy in mechanically ventilated patients can reduce seda- tion time, duration of mechanical ventilation, ICU length of stay, total hospitalization time, amount of sedative drugs, which to a great extent avoid drug accumulation and the occurrence of complications, therefore is worthy of further pro- motion.
出处
《中国农村卫生事业管理》
2016年第4期500-502,共3页
Chinese Rural Health Service Administration
关键词
每日唤醒
机械通气
镇静
护理
daily wake
mechanical ventilation
sedation
nursing
