摘要
目的探讨加强监护病房(ICU)腹部外科手术患者行eCASH理念下镇静、镇痛护理管理的临床效果。方法选取2020年2月至2022年2月中国人民解放军南部战区总医院ICU收治的100例患者为研究对象,依据随机数字表法分为观察组和对照组,每组50例。观察组行eCASH理念下镇静镇痛护理管理,对照组应用传统理念进行镇静、镇痛管理。比较两组镇静、镇痛效果,ICU入住期间不良事件的发生率及出院时格拉斯哥预后评分(GOS)。结果观察组镇静达标时间长于对照组,停镇静药后清醒时间、ICU入住时间、总住院时间短于对照组,RASS低于对照组(P<0.05)。观察组ICU入住期间不良事件总发生率低于对照组(P<0.05);两组出院时GOS比较,差异无统计学意义(P>0.05)。结论eCASH理念的镇静、镇痛护理在ICU腹部外科手术患者中应用效果较好,能够提升镇痛、镇静效果,缩短住院时间,降低不良反应发生率,对血流动力学指标具有改善作用。
Objective To explore the clinical effect of sedation and analgesia nursing based on eCASH concept in patients undergoing abdominal surgery in intensive care unit(ICU).Methods From February 2020 to February 2022,100 patients admitted to ICU of Southern Theater Command General Hospital of Chinese People’s Liberation Army were selected as the study objects.According to the random number table method,they were divided into observation group and control group,with 50 cases in each group.The observation group received sedation and analgesic nursing management under eCASH concept,while control group received sedation and analgesic nursing management under traditional concept.The effects of sedation and analgesia,incidence of adverse events during ICU stay,and Glasgow prognostic score(GOS)at discharge were compared between two groups.Results The sedation standard time of observation group was longer than that of control group,the waking time,ICU stay time,and total hospital stay of observation group were shorter than those of control group,and RASS of observation group was lower than that of control group(P<0.05).The total incidence of adverse events in observation group was lower than that in control group(P<0.05).There was no significant difference in GOS at discharge between two groups(P>0.05).Conclusion The sedative and analgesic nursing of eCASH concept has a good effect in ICU abdominal surgery patients,which can improve the analgesic and sedative effects,shorten the length of stay,reduce the incidence of adverse reactions,and improve the hemodynamic indexes.
作者
肖盛华
程洁
刘志锋
余阿红
XIAO Shenghua;CHENG Jie;LIU Zhifeng;YU Ahong(Department of Intensive Care Medicine,Southern Theater Command General Hospital of Chinese People’s Liberation Army,Guangdong Province,Guangzhou510010,China;Department of Hematology,Southern Theater Command General Hospital of Chinese People’s Liberation Army,Guangdong Province,Guangzhou510010,China)
出处
《中国医药导报》
CAS
2023年第10期96-99,共4页
China Medical Herald
基金
广东省基础与应用基础研究基金项目(2021A1515010170)。
