ICU机械通气患者镇痛镇静治疗的相关风险因素以及预防措施  

Related risk factors and prevention measures of analgesia and sedation treatment for ICU mechanical ventilation patients

作　　者：李杰锋 许献文 王燕冰 叶伟华 卢敏华 

机构地区：[1]佛山市南海区第五人民医院重症医学科,528231

出　　处：《中国实用医药》2015年第17期46-47,共2页China Practical Medicine

摘　　要：目的探讨ICU机械通气患者镇痛镇静治疗的相关风险因素以及预防措施,从而为疾病的防治提供科学理论依据。方法 120例机械通气持续镇痛镇静治疗患者作为研究对象,观察患者留置管道数量与镇痛镇静合理性之间的关系。结果患者的管道留置数量可影响患者镇痛镇静的合理性。结论对于ICU机械通气进行持续镇静镇痛患者,需要对其进行镇静评估及每日唤醒,避免镇静过浅或镇静过度,保持环境安静,加强循环系统、呼吸系统的管理,加强神经系统监测,使镇静治疗达到目标效果,减少不良事件的发生。Objective To investigate related risk factors and prevention measures of analgesia and sedation treatment for ICU mechanical ventilation patients, in order to provide scientific reference for prevention and treatment of disease. Methods A total of 120 mechanical ventilation patients under analgesia and sedation treatment were taken as study subjects. Their relationship between numbers of retained tubes and rationality of analgesia and sedation were observed. Results Numbers of retained tubes had influence on rationality of analgesia and sedation in patients. Conclusion Sedation evaluation and daily awakening are necessary for ICU mechanical ventilation patients under analgesia and sedation treatment, so as to avoid slight and overdose of sedation. Maintaining quiet environment, enhancing management of circulatory system, respiratory system and monitoring on nervous system can provide ideal effect in sedation treatment and reduce incidence of adverse reactions.

关 键 词：机械通气 镇痛镇静 风险因素 预防措施 

分 类 号：R459.7[医药卫生—急诊医学]