摘要
目的探讨早期目标导向性镇静在ICU机械通气中的应用效果。方法选取2017年1—7月在我院ICU住院的适合浅镇静的机械通气患者90例为研究对象,随机将其等分为试验组和对照组。试验组采取早期目标导向性镇静方案,对照组采取标准镇静方案,比较两组患者浅镇静达标率、谵妄发生率、机械通气的时间及ICU住院日。结果试验组患者浅镇静达标率高于对照组(P<0.05),谵妄发生率低于对照组(P<0.05),机械通气的时间和ICU住院日短于对照组(P<0.05)。结论早期目标导向性镇静能提高患者早期浅镇静目标的达标率、降低患者谵妄发生率,缩短患者机械通气时间及ICU住院日,在临床具有广泛的临床应用前景。
Objective To explore the application effect of early goal-directed sedation in ICU mechanical ventilation. Methods To select 90 cases of patients who were suitable for receiving shallow sedation and mechanical ventilation in the ICU of our hospital from January 2017 to July 2017 as subjects,and they were divided into experimental group and control group randomly. The experimental group adopted an early goal-directed sedation plan,while the control group adopted a standard sedation plan. The rate of shallow sedation compliance,the incidence of delirium,the duration of mechanical ventilation,and the duration of ICU stay between the two groups were compared. Results The rate of shallow sedation compliance in the experimental group was higher than that in the control group（ P〈0. 05）. The incidence of delirium was lower than that of the control group（ P〈0. 05）. The duration of mechanical ventilation and hospital stay in the ICU were shorter than those of the control group（ P〈0. 05）. Conclusion Early goal-directed sedation can improve the compliance rate of patients with early shallow sedation goals. More over,it can reduce the incidence of delirium in patients and shorten the time of mechanical ventilation and ICU stay in patients. As a result,this method has wide clinical application prospects in clinical practice.
出处
《护理实践与研究》
2018年第13期50-52,共3页
Nursing Practice and Research
关键词
早期目标导向性镇静
重症监护病房
浅镇静
谵妄
Early goal - directed sedation
Intensive care unit
Shallow sedation
Delirium
