探讨重症监护(ICU)患者的镇痛镇静治疗效果  

作　　者：罗少云[1] 崔雯[1] 

机构地区：[1]新疆昌吉州人民医院重症监护病房,新疆831100

出　　处：《当代医学》2016年第23期47-48,共2页Contemporary Medicine

摘　　要：目的探讨重症监护(ICU)患者的镇痛镇静治疗效果。方法选取100例重症监护(ICU)患者作为本次研究的对象,随机分为对照组与观察组,每组50例,对照组采用丙泊芬,间断使用冬非合剂进行治疗,观察组采用枸橼酸舒芬太尼和吗啡联合进行治疗,对比2组患者的镇痛镇静治疗效果。结果治疗后,对比2组患者的视觉模拟法评分,观察组低于对照组(P<0.05);对比2组患者的唤醒时间,观察组短于对照组(P<0.05);对比2组患者中出现的血压下降、心动过缓和自主呼吸频率情况,观察组均少于对照组,2组患者比较,差异具有统计学意义(P<0.05)。对比2组患者的机械通气时间,观察组与对照组比较差异无统计学意义。结论对重症监护(ICU)患者采用采用枸橼酸舒芬太尼和吗啡联合进行治疗,镇痛镇静效果显著,降低了对血流动力学的影响,值得在临床上推广应用。Objective To investigate the intensive care unit (ICU) patients sedation treatment. Methods 100 patients were treated in intensive care (ICU) patients as the object of this study were randomly divided into control group and observation group, 50 patients in each group, the control group, propyl Fern Park, intermittent use of a non-winter cocktail in sedation, observation group sufentanil citrate and morphine sedation, compared two groups of patients with sedation treatment. Results After treatment, compared two groups of patients with visual analog score, the observation group than the control group (P < 0.05), compared two groups of patients with wake-up time, shorter observation group than the control group (P <0.05); compared two groups of patients with blood pressure drop occurs, bradycardia and spontaneous breathing frequency, the observation group were less than the control group, two groups of patients, the difference was statistically significant (P < 0.05). Compare the two groups of patients with mechanical ventilation time, the observation group and the control group had no significant difference, the result was not statistically significant.Conclusion Intensive Care (ICU) patients with the use of sufentanil citrate and morphine treatment, sedation significant effect, reducing the impact on hemodynamics, worthy of clinical application.

关 键 词：重症监护 镇痛镇静 治疗效果 

分 类 号：R614[医药卫生—麻醉学]