镇静在儿科重症监护病房的应用

Application of sedation in pediatric intensive care unit

镇静在危重患儿的治疗过程中已越来越受到重视，也普遍应用于临床。各种镇静药物及其使用方法、镇静水平的评估、镇静风险的防治等都有不同的文献报道。目前苯二氮革类是镇静的主要药物，咪达唑仑静脉维持是常用的镇静方法，Rasmay评分、舒适量表评分和脑电双频指数常用于评价镇静水平，良好的镇静评估和心电呼吸监护是防治镇静风险的关键。

Sedation has been paid more and more attention in the treatment of critically ill children,and applied in clinical commonly. There are different reports in the literature about all kinds of gedation drug and method of use, Ramesay, prevention and control of the sedation risk. At present, benzodiazepines are the main sedation drug and constant intravenous infusion of midazolam is the commonly used method of sedation. Rasmay, Comfort scale and bispectral index are used in assessing sedation commonly. Sedation assessment and Ecg respiratory care is the key to prevent and control sedation risk.