SBS及CRIES疼痛评分指导对机械通气新生儿镇静镇痛药物使用情况的影响  

Effect of SBS and CRIES pain score guidance on the use of sedative and analgesic drugs in mechanically ventilated neonates

作　　者：卢慧雪 丁月琴[1] LU Hui-xue;DING Yue-qin(Department of Pediatrics,Dongguan People's Hospital,Dongguan 523000,China)

机构地区：[1]东莞市人民医院儿科二区新生儿科,523000

出　　处：《中国实用医药》2023年第3期138-140,共3页China Practical Medicine

基　　金：东莞市社会科技发展(一般)项目(项目编号:201950715001370)。

摘　　要：目的探究状态行为量表(SBS)及CRIES疼痛评分指导对机械通气新生儿镇静镇痛药物使用种类和频次的影响。方法200例新生儿科收治的机械通气新生儿,随机分为研究组和对照组,每组100例。研究组新生儿通过SBS及CRIES疼痛评分指导镇静镇痛,对照组新生儿通过基础流程指导镇静镇痛。比较两组新生儿镇静镇痛药物使用情况(使用率、使用种类、使用原因)、治愈率及并发症发生情况。结果研究组新生儿镇静镇痛药物使用率为56.00%,低于对照组的78.00%,差异具有统计学意义(P<0.05);两组新生儿镇静镇痛药物使用种类比较差异无统计学意义(P>0.05)。研究组新生儿镇静镇痛药物使用141例次,对照组使用140例次;两组新生儿镇静镇痛药物使用原因比较差异无统计学意义(P>0.05)。两组新生儿治愈率比较差异无统计学意义(P>0.05);研究组新生儿并发症发生率为7.00%,低于对照组的26.00%,差异具有统计学意义(P<0.05)。结论SBS及CRIES疼痛评分指导机械通气新生儿镇静镇痛,可以减少镇静镇痛药物的使用,在维持有效治愈率的同时降低并发症发生率。Objective To investigate the effects of the state behavior scale(SBS)and CRIES pain score guidance on the type and frequency of sedative and analgesic drugs in mechanically ventilated neonates.Methods A total of 200 mechanically ventilated neonates admitted to the neonatal department were randomly divided into a research group and a control group,with 100 cases in each group.Newborns in the research group received sedation and analgesia guided by SBS and CRIES pain scores,and newborns in the control group received sedation and analgesia guided by basic procedures.The use of sedative and analgesic drugs(rate of use,type of use,reason for use),cure rate,and occurrence of complications were compared between the two groups.Results The rate of sedative and analgesic drugs of neonates in the research group was 56.00%,which was lower than 78.00%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in type of sedative and analgesic drug used in neonates between the two groups(P>0.05).There were 141 cases/times of sedative and analgesic drugs used in neonates in the research group and 140 cases/times in the control group.There was no statistically significant difference in the reasons for sedative and analgesic drugs used in neonates between the two groups(P>0.05).There was no statistically significant difference in neonatal cure rate between the two groups(P>0.05).The incidence of neonatal complications in the research group was 7.00%,which was lower than 26.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion SBS and CRIES pain score can guide sedation and analgesia of neonates with mechanical ventilation can reduce the use of sedative and analgesic drugs and decrease the incidence of complications while maintaining effective cure rates.

关 键 词：状态行为量表 CRIES疼痛评分 新生儿机械通气 镇静镇痛药物 

分 类 号：R969.3[医药卫生—药理学]