优化组合方式镇静在脑出血术后患者中的应用效果  

The application effect of optimization calm on the patients with cerebral hemorrhage

作　　者：王玲[1] 

机构地区：[1]蚌埠医学院第一附属医院急诊内科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2013年第12期1667-1669,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨优化组合方式镇静对脑出血术后患者的应用效果。方法:将39例脑出血患者随机分为观察组20例和对照组19例,对照组采用单纯每日唤醒计划镇静,观察组患者实施程序性镇静联合每日唤醒镇静的优化组合方式,比较2组患者的机械通气时间、机械通气并发症发生率、人机对抗、意外脱管发生率、平均动脉压(MAP)变化、意识状态恢复等指标。结果:观察组患者机械通气时间和机械通气并发症发生率与对照组差异均无统计学意义(P>0.05),观察组患者MAP优于对照组(P=0.019),意识状态的恢复优于对照组。结论:优化组合方式镇静和单纯每日唤醒计划镇静方式均能防止患者的无意识行为干扰治疗,而优化组合方式镇静能够减少脑出血患者术后并发症的发生,更有利于意识状态的恢复。Objective：To explore the application effects of optimization calm on the patients with cerebral hemorrhage. Methods： Thirty-nine patients with cerebral hemorrhage were randomly divided into the observation group （ 20 cases ） and control group （ 19 cases）. The control group were calmed by simple daily waking up plan. The observation group were calmed by procedural sedation combined with daily waking up. The application time of mechanical ventilation, the complication rates of mechanical ventilation, the man-machine confrontation,the incidence of the tube accidental taking off, and the change of MAP and consciousness recovery of two groups were compared. Results ： There were not statistical significance in the application time of mechanical rentilation and complication rates of mechanical ventilation between two groups （ P 〉 0. 05 ）. Compared with the control group, the patients＇ MAP and the consciousness recovery were good in the observation group. Conclusions：Both the optimization calm and simple daily waking up plan can prevent unconscious behavior interference treatment. The optimization calm can reduce the occurrence of postoperative complications in patients with cerebral hemorrhage, and is more conducive to the recovery of consciousness.

关 键 词：脑出血 镇静 唤醒 程序性镇静 

分 类 号：R743.34[医药卫生—神经病学与精神病学]