摘要
疼痛和焦虑情绪对重症医学科(ICU)患者造成严重心理应激,甚至影响患者预后。恰当的镇痛镇静治疗可以缓解疼痛及不适感,降低谵妄发生风险,实现器官功能保护。ICU镇痛镇静治疗需秉承先评估后治疗、先镇痛后镇静的原则,进行镇痛镇静治疗时必须注重使用非药物性措施改善患者的舒适性。因此制订完整、简洁的流程有助于镇痛镇静治疗实施,达到良好的镇痛镇静效果。
Pain and anxiety cause severe psychological stress and badly affect the outcome in intensive care unit(ICU) patients. Appropriate analgesia and sedation can meliorate pain and discomfort, reduce the risk of delirium and achieve the goal of organ protection. We must follow the sequence of assessment, analgesia and sedation. We also need to pay attention to non-pharmacologic interventions during analgesia and sedation. Setting up a complete and concise protocol can improve analgesia and sedation.
作者
陈敏英
胡波
张丽娜
郑瑞强
翟茜
杨向红
虞文魁
王洪亮
隆云
无
Chen Minying;Hu Bo;Zhang Lina;Zheng Ruiqiang;Zhai Qian;Yang Xianghong;Yu Wenkui;Wang Hongliang;Long Yun(Department of Critical Care Medicine,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Intensive Care Unit,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Intensive Care Unit,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Critical Care Medicine,Northern Jiangsu Province People′s Hospital,Yangzhou 225001,China;Department of Critical Care Medicine,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Critical Care Medicine,Zhejiang Provincial People′s Hospital,Hangzhou 310014,China;Department of Critical Care Medicine,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Department of Critical Care Medicine,Second Affiliated Hospital of Harbin Medical University,Harbin 150081,China;Department of Critical Care Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华重症医学电子杂志》
2019年第4期353-358,共6页
Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)
基金
广东省科技创新战略专项资金项目(2018YJ026)
关键词
镇痛
镇静
谵妄
重症医学科
Analgesia
Sedation
Delirium
Intensive care unit
