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程序性镇静策略在ICU机械通气患者中的应用 被引量:3

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摘要 目的观察程序性镇静策略在ICU机械通气患者中应用效果。方法将30例行机械通气并镇静治疗的ICU患者,按随机数字表分为观察组和对照组各15例。两组使用相同镇静药物,观察组实施程序性镇静策略,对照组应用传统镇静方式,比较两组患者机械通气时间、ICU住院时间、非计划拔管及呼吸机相关性肺炎的发生率。结果观察组机械通气时间、ICU住院时间、均少于对照组,差异有统计学意义(P<0.05),两组呼吸机相关性肺炎及非计划拔管发生率差异无统计学意义。结论 ICU机械通气患者实施程序性镇静是较为合理的镇静策略。
机构地区 浙江省台州医院
出处 《护理与康复》 2014年第12期1158-1160,共3页 Journal of Nursing and Rehabilitation
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  • 1Strom T,Toft P. Sedation and analgesia in mechanical ventila- tion[J]. Semin Respir Crit Care Meal,2014,35(4) :441-450.
  • 2Quenot JP, Ladoire S, Devoucoux F, et al. Effect of a nurse- implemented sedation protocol on the incidence of ventilator- associated pneumonia[J]. Crit Care Med, 2007,35 (9) : 2031 - 2036.
  • 3Ramsay MA, Savege TM, Simpson BR, et al. Controlled seda tion with Alphaxalone-alphadolone[J]. Br Med J, 1974, 22 (2) :656-659.
  • 4De Jonghe B,Cook D,Griffith L,et al. Adaptation to the Inten- sive Care Environ- Ment (ATICE) : development and valida- tion of a new sedation assessment instrument[J]. Crit Care Med, 2003,31 (9) : 2344- 2354.
  • 5De- Wit M, Gennings C, Jenvey WL, et al. Randomized trial comparing daily interruption of sedation and nursing- imple- mented sedation algorithm in medical intensive care unit pa- tients[J]. Crit Care,2008,12(3) :R70.
  • 6MacLaren R,Plamondon JM, Ramsay KB, et al. A prospective evaluation of empiric versus protocol-based sedation and anal-gesia[J]. Pharmacotherapy, 2000,20 (6) : 662- 672.
  • 7Brattebo G, Hofoss D, Flaatten H, et al. Effect of a scoring sys- tem and protocol for sedation on duration oF patients' need for ventilator support in a surgical intensive care unit[J]. BMJ, 2002(324) : 1386-1389.
  • 8Yiliaz C, Kelehek Girgin N, Ozdemir N, et a. The effect of nursing-implemented sedation on the duration of mechanical ventilation in the ICU[J]. Ulus Travma Acil Cerrahi Derg, 2010,16 (6) : 521- 526.
  • 9Arias- Rivera S, Sdnchez- Sdnchez Mdel M, Santos- Diaz R, et al. Effect o1' a nursing- implemented sedation protocol on weaning outcome [J]. Crit Care Med, 2008, 36 (7): 2054 - 2060.

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