中西医结合治疗重症监护谵妄患者临床效果观察

Observation on the clinical effect of combination of traditional Chinese and Western medicine in the treatment of patients with delirium by intensive care

目的:观察中西医结合疗法对重症监护患者谵妄状态的临床效果。方法:收治重症监护谵妄状态患者100例,随机平分为两组。采用谵妄量表(DRS)进行入组测评,均给予一般治疗,对照组给予氟哌啶醇镇静治疗,观察组则采用氟哌啶醇镇静+磁珠耳穴贴压治疗。治疗后采用ICU谵妄诊断意识状态评估法(CAM-ICU)评估整体疗效。结果:两组治疗后谵妄得分观察组明显低于对照组;治疗后谵妄消失时间观察组比对照组短,差异就有统计学意义(P<0.01);整体疗效比较,观察组优于对照组。结论:氟哌啶醇镇静+磁珠耳穴贴压治疗重症监护患者谵妄状态具有良好的调治协同作用。

Objective:To observe the clinical effect of combination of traditional Chinese and Western medicine in the treatmentof patients with delirium by intensive care.Methods:100 patients with delirium by intensive care were selected.They wererandomly divided into the two groups on average.The delirium scale(DRS)was used to evaluate patients when they entered thegroup,and they were all given general treatment.The control group was given haloperidol sedative treatment,while the observationgroup was treated by haloperidol sedation combined with auricular plaster pressing with magnetic beads.After treatment,we usedconfusion assessment method-ICU(CAM-ICU) to evaluate the overall curative effect.Results:After treatment,the delirium score ofthe observation group was significantly lower than the control group,and the disappearance time of delirium of the observationgroup was shorter than the control group,with a very significant difference(P<0.01).The overall efficacy of the observation groupwas better than the control group.Conclusion:Haloperidol sedation combined with auricular plaster pressing with magnetic beadsin the treatment of patients with delirium by intensive care has a good synergistic effect.