咪达唑仑在老年机械通气患者中的临床观察

Midazolam in elderly patients with mechanical ventilation in the clinical observation

目的:探讨咪达唑仑在老年机械通气患者中的临床疗效。方法:选取本院老年病科2008年1月-2009年12月收治的慢性阻塞性肺疾病急性加重期出现重度二型呼吸衰竭的患者16例,16例患者均使用呼吸机进行通气治疗,治疗中采取静脉连接镇痛泵注入咪达唑仑,速度为0.2mg/Kg.h。结果:采用微量泵持续泵入咪达唑仑后16例患者平均镇静时间为(20±9)s;停药后神志恢复时间为35s-6min。同时,经本院临床统计与观察,患者用药后血压无明显变化。结论:咪达唑仑用于老年机械通气患者的镇静评分和患者的总体满意度均能达到理想的效果,值得临床应用与推广。

Objective： Of midazolam in elderly patients with mechanical ventilation in the clinical efficacy. Methods： Select the hospital Geriatrics January 2008 12 - 2009 were treated in chronic obstructive pulmonary disease had severe acute exacerbation of respiratory failure 2 16 patients, 16 patients were treated using a breathing machine ventilation,treatment taken venous analgesia pump injection of midazolam, speed 0.2mg/Kg. h. Results：Continuous infusion pump using micro - midazolam sedation after 16 patients, the average time （20 ± 9 ）s ;consciousness recovery time after stopping 35 s -6min. Meanwhile, statistics and clinical observation by the Court, in patients with no significant changes in blood pressure after treatment. Conclusion： Midazolam for sedation in patients aged mechanical ventilation rate and the overall satisfaction of patients can achieve the desired results, is worthy of clinical application and popularization.