程序化镇痛镇静对ICU慢性阻塞性肺疾病急性加重患者康复影响分析
投稿时间:2015-02-09  修订日期:2015-03-16  点此下载全文
引用本文:颜江涛,赵小辉,徐阳,陈杰,王洋,王海艳,王力.程序化镇痛镇静对ICU慢性阻塞性肺疾病急性加重患者康复影响分析[J].医学研究杂志,2015,44(10):70-72
DOI: 10.11969/j.issn.1673-548X.2015.10.019
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作者单位
颜江涛 072750 涿州, 保定市第二中心医院急诊科 
赵小辉 072750 涿州, 保定市第二中心医院急诊科 
徐阳 072750 涿州, 保定市第二中心医院急诊科 
陈杰 072750 涿州, 保定市第二中心医院急诊科 
王洋 072750 涿州, 保定市第二中心医院急诊科 
王海艳 072750 涿州, 保定市第二中心医院急诊科 
王力 050041 石家庄, 河北省胸科医院 
基金项目:河北省卫生厅基金资助项目(20130433)
中文摘要:目的 探讨程序化镇痛镇静对ICU慢性阻塞性肺疾病急性加重患者康复影响。 方法 慢性阻塞性肺疾病急性加重患者70例按入科顺序分为治疗组与对照组各35例,两组都给予机械通气与常规护理,在此基础上治疗组加用程序化镇痛镇静策略。 结果 在治疗组中,使用咪达唑仑注射液和吗啡的平均剂量与总剂量都明显低于对照组(P<0.05),治疗组的机械通气时间、ICU住院日和总住院日都明显少于对照组(P<0.05),治疗组在干预期间的腹胀、口干、恶心、呕吐、感染等并发症总体发生率明显低于对照组,差异有统计学意义(P<0.05)。 结论 程序化镇痛镇静策略配合在ICU慢性阻塞性肺疾病急性加重患者的应用能有效提高镇痛镇静效果,促进患者的康复,同时安全性好,值得推广应用。
中文关键词:程序化镇痛镇静策略  机械通气  ICU  慢性阻塞性肺疾病急性加重
 
Effects Analysis of Procedural Sedation Strategies for Treating Chronic Obstructive Pulmonary Disease with Acute Exacerbation in the ICU
Abstract:Objective To investigate the effects of procedural sedation strategies for treating chronic obstructive pulmonary disease with acute exacerbation in the ICU. Methods Seventy cases with chronic obstructive pulmonary disease with acute exacerbation were equally divided into treatment group and control group 35 cases.Patients in two groups were given mechanical ventilation with conventional care, and those in the treatment group were added with procedural sedation strategies. Results The morphine injection and midazolam injection average and total doses of the treatment group were significantly lower than the control group (P<0.05), the mechanical ventilation, ICU length of stay, and total hospital stay of the treatment group were significantly than the control group (P<0.05). During the intervention, the complications overall incidence rates of the bloating, dry mouth, nausea, vomiting, infections of the treatment group were significantly lower than the control group that compared to significant differences (P<0.05). Conclusion Procedural sedation strategies ICU for treating chronic obstructive pulmonary disease with acute exacerbation can effectively improve the analgesic sedative effect, promote the rehabilitation of patients, while its security was good that should be widely applied.
keywords:Procedural sedation strategies  Mechanical ventilation  ICU  Chronic obstructive pulmonary disease with acute exacerbation
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