摘要
目的：探讨早期目标导向镇静（EGDS）与标准化镇静（STDS）对急性重症胰腺炎（SAP）需机械通气患者的效果及护理。方法：选择2014年1月-2015年10月45例SAP患者并随机分为EGDS组（n=26）和STDS组（n=19），以RASS评分-2-1分为浅镇静目标。比较两组患者的死亡率、拔管率、谵妄、机械通气时间及住ICU时间。结果．EGDS组死亡率及谵妄发生率均低于STDS组，住ICU时间、机械通气时间短于对照组，两组比较具有统计学意义（P〈O．05）；两组7d内拔管率、意外拔管率比较无统计学意义（P〉0．05）。结论：EGDS可改善SAP预后，正确积极的护理可保障EGDS的顺利实施。
Objective: To explore the effects and care of early goal-directed sedation( EGDS) and standardization sedation( STDS) on severe acute pancreatitis( SAP) patients in need of mechanical ventilation. Methods: Selected 45 SAP patients from January 2014 to October 2015,and randomly divided them into EGDS group( n = 26) and STDS group( n = 19),took RASS score-2-1 as shallow sedation target. Compared the death rate,decannulation rate,delirium,time of mechanical ventilation and living in ICU of the two groups of patients. Results: Death and delirium incidence of EGDS group were all lower than those of STDS group,time of living in ICU and mechanical ventilation were shorter than those of the control group,comparisons of the two groups were of statistical significance( P < 0. 05); comparisons of the two groups of decannulation rate within 7 days and accidental decannulation rate were of no statistical significance( P > 0. 05). Conclusion: EGDS can improve SAP prognosis,and correct and positive care can guarantee the smooth implementation of ECDS.
出处
《护理实践与研究》
2016年第15期41-42,共2页
Nursing Practice and Research
关键词
早期目标导向镇静
重症胰腺炎
机械通气
浅镇静
Early goal-directed sedation
Severe pancreatitis
Mechanical ventilation
Shallow sedation
