咪达唑仑联用芬太尼在ARDS患儿中的疗效评价  

Midazolam Combined with Fentanyl in ARDS Children

作　　者：徐卫华[1] 金丹群[1] 李敏[1] 

机构地区：[1]安徽省立儿童医院PICU,安徽合肥230051

出　　处：《医学新知》2012年第4期276-277,共2页New Medicine

摘　　要：目的探讨芬太尼复合咪达唑仑用于儿童ARDS的镇静、镇痛效果。方法回顾分析36例ARDS的治疗经验，比较单独使用咪达唑仑与联合使用治疗ARDS的镇静效果。结果咪达唑仑与芬太尼联合镇静能取得较好的疗效，减少机械通气中的人机对抗，有效地避免了肺损伤，且能使血液动力学更加稳定。结论联合使用咪达唑仑与芬太尼在儿童ARDS镇静中效果满意，可以减少不良反应，是ARDS患儿较为理想的镇静方案。Objective To investigate fentanyl midazolam sedation for children of ARDS and the analgesic effect. Methods 36 cases experienced in the treatment of ARDS were retrospective analyzed. We compared midazolam alone with combination treatment for ARDS sedation. Results Midazolam and fentanyl sedation achieved good results, re- duced the man - machine confrontation with mechanical ventilation and effectively avoided the lung damage, and made a more stable hemodynamic. Conclusion The combination of midazolam and fentanyl sedation in children in ARDS results are satisfactory ,it can reduce the adverse reaction and may be an ideal solution in sedation in children with ARDS.

关 键 词：咪达唑仑 芬太尼 急性呼吸窘迫综合征 镇静 

分 类 号：R614.24[医药卫生—麻醉学]