摘要
目的总结机械通气治疗哮喘重症患者时使用肌松剂及镇静剂的护理方法。方法对42例哮喘重症患者行机械通气治疗,给予20mg咪唑安定+20mg维库溴铵静脉泵注,辅之以镇静效果评估、不良反应及并发症预防护理、安全监护及人工气道管理等护理,观察护理效果。结果 42例患者镇静治疗(51.2±9.4)h,抢救成功率为100%;护理后MAP、呼吸、PaO2、PaCO2、SaO2等血气指标较护理前改善,差异具有统计学意义(P<0.05)。结论对哮喘重症患者进行机械通气治疗时,联合使用肌松剂及镇静剂可起到良好的镇静效果,辅助优质护理可提高治疗成功率,减少并发症。
Objective To summarize care methods of sedative muscle and relaxant use in mechanical ventilation for patients with severe asthma. Methods Forty-two patients with severe asthma treat by mechanical ventilation, 20 mg midazolam ＋20 mg vecuronium intravenous infusion, complemente by calming effect evaluation, adverse reactions and complications preventive care, safe custody and artificial airway management ,observed the care effect. Results 42 patients sedation for （51.2±9.4） h, survival rate is 100% ; after nursing, MAP, respiration, PaO2, PaCO2, SaO2 and other blood indicators were improved compared with before, the difference was statistically significant. Conclusion Mechanical ventilation for patients with severe asthma, joint use of muscle relaxants and sedative,has a sedative effect, highquality care can improve secondary treatment success rates and reduce complications.
出处
《中国现代医生》
2014年第6期101-103,共3页
China Modern Doctor
基金
浙江省医药卫生一般研究计划(2011KYA153)
关键词
支气管哮喘
机械通气
护理
肌松剂
镇静剂
Bronchial asthma
Mechanical ventilation
Care
Muscle relaxants
Sedatives
