RASS镇静评分在神经外科重症患者中的应用

Application of richmond agitation-sedation scale in severe neurosurgery patients

目的对镇静评分在神经外科重症患者中的应用进行初步研究。方法选取2017年7月~2018年8月我院收治的神经外科重症患者50例,随机分两组,观察组25例和对照组25例。对照组医护人员根据自身临床经验对患者进行镇静用药,观察组使用RASS评分并以此为基础对患者进行镇静用药。通过比较两组患者的满意度和谵妄发生情况,对镇静评分在神经外科重症患者中的应用进行初步研究。结果观察组与对照组患者满意度分别为92.0%和64.0%,谵妄发生率分别为8.0%和32.0%,镇静后观察组患者心率、呼吸、收缩压、舒张压指标均优于对照组患者,差异有统计学意义(P<0.05)。结论采用RASS评分对神经外科重症患者进行客观地评估,操作简单,疗效显著,值得在医院推广应用。

Objective To study the application of richmond agitation-sedation scale(RASS)in severe neurosurgery patients.Methods 50 severe neurosurgery patients treated in our hospital from July 2017 to August 2018 were randomly divided into two groups,the observation group(n=25)and the control group(n=25).The control group was sedated based on their own clinical experience,and the observation group were sedated on the basis of RASS.The satisfaction and delirium of the two groups were compared to explore the application of sedation score in severe neurosurgery patients.Results The satisfaction rate of patients in the observation group and the control group was 92.0%and 64.0%respectively,and the incidence rate of delirium was 8.0%and 32.0%respectively.After sedation,the indexes of heart rate,respiration,systolic blood pressure and diastolic blood pressure in the observation group were better than the control group,and the differences were statistically significant(P<0.05).Conclusion RASS score is a simple and effective method for the evaluation of severe neurosurgery patients,which is worth popularizing in hospitals.