182例机械通气患者Ramsay镇静评分的应用和护理  

Application and nursing of The Ramsay sedation scales in 182 cases on mechanical ventilation

作　　者：林玉婵[1] 刘卫江[1] 

机构地区：[1]广州医学院第二附属医院中心Icu,510260

出　　处：《国际医药卫生导报》2010年第18期2302-2304,共3页International Medicine and Health Guidance News

摘　　要：目的 使用Ramsay镇静评分观察静脉注射咪唑安定,指导机械通气患者的临床镇静用药.方法 对2009年1月至2010年6月入住ICU的182例的机械通气患者,按咪唑安定0.1～0.5mg/kg的剂量给予微量推注泵静脉注射,以Ramsay镇静评分评估动态观察24h,观察镇静程度,调节用药.结果 进行Ramsay镇静评分能有助于镇静程度的准确判断,为调节用药提供依据.结论 进行Ramsay镇静评分和结合临床护理观察,能及时获得病人的安全信息,通过每日唤醒计划的实施,减轻镇静药物的依赖性,减少病人的非计划性拔管,减少病人的插管天数从而减少呼吸机相关性肺炎的发生.Objective To instruct the clinical sedative in patients on mechanical ventilation by observing the effectiveness of midazolam intravenous injecting with Ramsay sedation scales. Methods 182 cases on mechanical ventilation in intensive care unite （ICU） from January to June in 2009 were sedation level by observing 24 hours dynamically with Ramsay sedation scales. Results The Ramsay sedation scales is contribute to judging the sedation level exactly. Conclusion Ramsay sedation scales and clinical observation may be best used to get the information of patients. To reduce the dependence of sedation and proportion of unplanned extubation（UEX） by daily interruption is to decrease the cannula days and venilatorassociated pneumonia（VAP）.

关 键 词：RAMSAY镇静评分 观察 护理 

分 类 号：R473.6[医药卫生—护理学]