颅脑损伤患者术后应用盐酸右美托咪定的观察及护理  

Observation and Nursing of the Application of Hydrochloric Acid Dexmedetomidine Postoperatively in Patients with Craniocerebral Injury

作　　者：赵彬芳[1] 吴玉燕[1] 冯小云[1] 张博[1] 张茹[1] 

机构地区：[1]第四军医大学唐都医院神经外科监护室,陕西西安710038

出　　处：《解放军护理杂志》2015年第19期58-59,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨盐酸右美托咪定在颅脑损伤患者术后镇静镇痛治疗中的应用效果及护理要点。方法回顾性分析2013年1-12月第四军医大学唐都医院收治的86例颅脑损伤患者的临床资料,所有患者术后均采用盐酸右美托咪定持续微量泵泵入治疗。结果 86例患者中达满意镇静镇痛水平者77例,占89.53%;镇静镇痛不足者5例,占5.82%;过度镇静镇痛者4例,占4.65%。镇静镇痛治疗期间,患者的心率、血压、呼吸、血氧饱和度未见明显的变化。结论盐酸右美托咪定镇静镇痛效果良好,适用于颅脑损伤患者术后的治疗,可促进患者早日康复。Objective To explore the effect and nursing key points of the application of hydrochloric acid dexmedetomidine postoperatively in patients with craniocerebral injury .Methods Clinical data of 86 cases were analyzed retrospectively ,all patients were treated with hydrochloric acid dexmedetomidine after sur-gery .Results There were 77 cases achieved satisfied sedation level ,which accounted for 89 5.3% ;calm defi-ciencies occurred in 5 cases ,w hich accounted for 5 8.2% ;excessive sedation occurred in 4 cases ,accounted for 4 6.5% .The patient’s heart rate ,blood pressure ,respiration ,blood oxygen saturation during sedation an-algesia treatment showed no obvious changes .Conclusion Hydrochloric acid dexmedetomidine has good sedation analgesia effect ,which suitable for the treatment after traumatic brain injury surgery and promote the early rehabilitation of patients .

关 键 词：颅脑损伤 盐酸右美托咪定 护理 

分 类 号：R651.15[医药卫生—外科学]