舒适评分在先天性心脏病术后机械通气患儿镇静中的应用效果  

Application effect of comfort scale in congenital heat disease children with mechanical ventilation and sedation

作　　者：王彦华[1] 王书玲[1] 陈娟[1] 赵哲[1] 李艳华[1] 姚洁[1] 王玲琴[1] 谷疆蓉[1] 

机构地区：[1]河北省儿童医院心外科,石家庄市050031

出　　处：《护理实践与研究》2013年第24期25-26,共2页Nursing Practice and Research

基　　金：河北省卫生厅2011年医学科学研究重点课题计划(20110240)

摘　　要：目的：探讨舒适评分在先天性心脏病术后机械通气患儿镇静中的应用效果。方法：选取2012年10月~2013年1月我院住院的先天性心脏病室间隔缺损术后机械通气患儿62例为研究对象,随机分为试验组和对照组各31例。两组患儿都采用芬太尼或咪达唑仑持续镇静,试验组采用舒适评分表评估患儿的镇静深度,进而根据结果通知医师调整镇静剂的量以达到理想的镇静深度;对照组采用传统的镇静方法,即只要患儿躁动、清醒、呼吸机对抗即按医嘱给予镇静剂。结果：试验组患儿镇静剂的使用剂量、呼吸机使用时间明显低于对照组。结论：运用舒适评分表有利于先天性心脏病术后机械通气患儿镇静,明显降低患儿镇静剂的使用量及机械通气时间。Objective： To explore the application effect of the comfort scale in assessing optimal sedation in children with CHD after surgery requiring mechanical ventilation. Methods： 62 babies with VSD requiring ventilation were randomly divided into intervention group and control group after surgery,31 cases in each group. The two groups got fentanyl or midazolam for continuous sedation. The intervention group the nurses told the doctor to adjust the dose of sedatives after they assessed the patient＇s sedation level with comfort scale so that they could keep the sedation in an optimal level. The control group received sedatives in traditional way when the patient was moving,waking up,fighting with the ventilation. Results： The use of sedatives＇ dose and mechanical ventilation time in intervention group was obviously lower than in the control group. Conclusion： It is helpful to use the comfort scale in assessing sedation in children with CHD after surgery requiring mechanical ventilation and it can obviously decrease the use of sedatives＇ dose and ventilation time.

关 键 词：舒适评分表 镇静 机械通气 先天性心脏病 

分 类 号：R472[医药卫生—护理学]