重症哮喘患者机械通气时使用镇静和肌松剂的观察与护理  

Nursing care of severe asthma patients treated by sedatives and muscle relaxants combined with mechanical ventilation

作　　者：陈海燕[1] 徐玲芬[1] 崔恩海[1] 

机构地区：[1]湖州市中心医院呼吸内科,浙江省湖州市313000

出　　处：《中华护理杂志》2010年第5期420-422,共3页Chinese Journal of Nursing

摘　　要：目的观察机械通气联用镇静剂和肌肉松弛剂治疗重症哮喘患者的疗效、不良反应,为临床护理提供依据。方法选择RICU3年以上工作经验的护理人员参与完成通气监护、镇静效果评估及人工气道管理等护理工作。结果18例经过6-192h,平均(48.2±42.2)h的镇静、肌松剂配合机械通气的综合治疗与护理,均抢救成功。撤机后循环及动脉血气指标(PaO2、PaCO2)明显改善,与机械通气前比较差异有统计学意义(P<0.01)。结论机械通气中联用镇静剂和肌肉松弛剂的治疗过程中,正确的镇静效果评估等护理工作是保证疗效、减少并发症的重要环节。Objective To introduce the nursing care of severe asthma patients treated by sedatives and muscle relaxants combined with mechanical ventilation.Methods Nurses with more than 3 years of working experiences in respiratory intensive care unit participated in the nursing care,such as ventilation monitoring,sedative effect assessment and artificial airway management.Results All the 18 patients were treated successfully,and the duration of mechanical ventilation ranged from 6 to 192 hours.The indicators of circulation and arterial gas after weaning were improved significantly（P〈0.01）.Conclusion Proper nursing care and correct sedative effect assessment is an important point to ensure treatment efficacy and reduce complications for severe asthma patients treated by sedatives and muscle relaxants combined with mechanical ventilation.

关 键 词：通气机 机械 肌松弛药 中枢性 催眠药和镇静药 哮喘 护理 

分 类 号：R473.5[医药卫生—护理学]