BIS监测联合Ramsay镇静评分在预防ICU患者非计划性气管拔管中的应用  

Application of BIS monitoring and Ramsay score in the prevention of unplanned tracheal extubation in ICU patients

作　　者：张燕[1] 赵世娣[1] 程晓红[1] 何平[1] 

机构地区：[1]南京医科大学附属无锡第二医院ICU,214002

出　　处：《中国实用护理杂志》2012年第36期30-32,共3页Chinese Journal of Practical Nursing

摘　　要：【摘要】目的探讨脑电双频指数（BIS）监测联合Ramsay镇静评分在预防ICU患者非计划性气管拔管中的应用价值。方法选择93例神志清醒的气管插管患者作为研究对象，采用随机数字法将患者分为实验组47例与对照组46例，实验组采用BIS监测联合Ramsay镇静评分进行镇静管理，对照组采用Ramsay镇静评分进行镇静管理，对2组患者气管插管期间非计划性拔管发生率进行比较。结果实验组非计划性拔管发生率显著低于对照组。结论BIS监测联合Ramsay镇静评分比单纯Ramsay镇静评分法更适合于气管插管患者的镇静管理。Objective To investigate the application value of BIS monitoring and Ramsay score in the prevention of unplanned tracheal extubation in ICU patients. Methods 93 patients were enrolled in this study, they were divided into the experimental group（47 cases）and the control group（46 cases） using ran- dom number method. They received sedation regimens with BIS monitoring and Ramsay score or Ramsay score respectively. Occurrence rate of unplanned extubation was compared between the two groups. Results The occurrence rate of unplanned extubation was significantly lower in the experimental group than that of the control group. Conclusions BIS monitoring and Ramsay score is a suitable ways for the management of sedation of intubated patients.

关 键 词：非计划性气管拔管 BIS监测 RAMSAY镇静评分 

分 类 号：R614[医药卫生—麻醉学]