摘要
目的:探究对重症监护病房(ICU)重症脓毒血症患者实施程序化镇痛镇静方案的应用价值。方法:选取2019年1月—2022年12月广西中医药大学附属瑞康医院ICU收治的重症脓毒血症患者60例作为研究对象,随机分为对照组、观察组,各30例。对照组实施常规镇痛镇静方案,观察组实施程序化镇痛镇静方案。比较两组镇静镇痛效果、呼吸频率、血流动力学变化、临床相关指标、满意度。结果:观察组视觉模拟评分法、镇静程度评估表评分及谵妄发生率均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组心率、呼吸频率、收缩压及舒张压水平低于对照组,差异有统计学意义(P<0.001);观察组机械通气时间、ICU住院时间、停药后唤醒时间均短于对照组,差异有统计学意义(P<0.05);观察组总满意度高于对照组,差异有统计学意义(P=0.006)。结论:应用程序化镇痛镇静方案可有效提高ICU重症脓毒血症患者镇静、镇痛效果,使血流动力学指标更加平稳,提高患者满意度,有助于患者早日康复,值得临床推广。
Objective:to investigate the value of implementing procedural sedation and analgesia for patients with severe sepsis in intensive care unit(ICU).Methods:60 patients with severe sepsis admitted to the ICU of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine from January 2019 to December 2022 were selected as the study subjects,and randomly divided into the control group and the observation group,each with 30 cases.The control group implemented conventional analgesia and sedation while the observation group procedural sedation and analgesia.Sedation and analgesia effect,respiratory rate,hemodynamic changes,clinical related indexes,and Patient satisfaction between the two groups were compared.Results:The visual analog scale,sedation assessment scale score and delirium incidence rate of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);after treatment,the heart rate,respiratory rate,systolic blood pressure and diastolic blood pressure levels of the observation group were lower than that of the control group,and the difference was statistically significant(P<0.001);the time of mechanical ventilation,the time of hospitalization in the ICU,and the time to awaken after stopping the medication of the observation group were shorter than those of the control group.Time of mechanical ventilation,ICU hospitalization time,and awakening after drug withdrawal were shorter than those of the control group,and the difference was statistically significant(P<0.001);the total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.006).Conclusion:The application of procedural sedation and analgesia can effectively improve the sedation and analgesic effect of ICU patients with severe sepsis,stabilize hemodynamic indexes,improve patient satisfaction,and contribute to the early recovery of patients,which is worthy of clinical promotion.
作者
梁大英
陈美蓉
莫春镕
Liang Daying;Chen Meirong;Mo Chunrong(Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530005,Guangxi Zhuang Autonomous Region,China)
出处
《中外医药研究》
2024年第1期12-14,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
