阶梯管理联合信息化识别在有创机械通气患者镇痛镇静中的应用研究  

A study of Step Management Combined with Informative Identification in Analgesia and Sedation in Patients with Invasive Mechanical Ventilation

作　　者：胡小路 胡煜 王倩 李平 刘河静 HU Xiao-lu;HU Yu;WANG Qian;LI Ping;LIU He-jing(Department of Emergency Intensive Care,Nanyang First People's Hospital,Nanyang 473000,Henan Province,China;Department of Respiratory Intensive Care,Nanyang First People's Hospital,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳市第一人民医院急诊重症监护科,河南南阳473000 [2]南阳市第一人民医院呼吸重症医学科,河南南阳473000

出　　处：《罕少疾病杂志》2025年第2期175-177,共3页Journal of Rare and Uncommon Diseases

基　　金：2023年度南阳市科技发展计划项目(23KJGG206)。

摘　　要：目的 探究阶梯管理联合信息化识别在有创机械通气患者镇痛镇静中的应用效果。方法 选取2023年1月至2024年6月期间于本院呼吸危重症医学科接受治疗的有创机械通气患者120例,2023年1月至2023年6月期间、2023年7月至2023年12月期间、2024年1月至2024年6月期间收治的患者分别对应为对照组(n=40)、观察1组(n=40)、观察2组(n=40)。对照组患者实施常规护理,观察1组在对照组基础上实施阶梯管理,观察2组在对照组基础上实施阶梯管理联合信息化识别.。比较三组患者的镇静深度、临床指标以及不良事件发生情况。结果 观察2组各时间点的浅镇静达标率及Dt浅镇静达标率均明显.高于观察1组和对照组(P<0.05);观察2组与对照组各时间点HR、RR、MAP、镇静时间.、机械通气时间、一次拔管成功率、住院时间差异均具有显著性(P<0.05.);观察2组与观察1组各时间点HR、RR、MAP、一次拔管.成功率差异均不显著(P>0.05),两组镇静时间、机械通气时间.、住院时间差异均具有显著性(P<0.05);观察2组各不良事件发生率较对照组均显著降低(P<0.05);观察2组与观察1组各不良事件发生率差异均不显著(P>0.05)。结论 阶梯管理联合信息化识别应用于有创机械通气患者镇痛镇静中,可有效提高患者的浅镇静达标率,显著改善患者预后,且不良反应发生较少,具有较高的临床应用价值及推广价值。Objective To explore the application effect of ladder management combined with information identification in analgesia and sedation of patients with invasive mechanical ventilation.Methods One hundred and twenty patients with invasive mechanical ventilation who were treated in the Department of Respiratory Critical Care Medicine of our hospital during the period of January 2023 to June 2024 were selected,and the patients admitted during the period of January 2023 to June 2023,July 2023 to December 2023,and January 2024 to June 2024 corresponded to,respectively,the control group(n=40),observation 1 group(n=40),and observation 2 group(n=40).The patients in the control group implemented conventional nursing care,observation group 1 implemented ladder management on the basis of the control group,and observation group 2 implemented ladder management combined with informational identification on the basis of the control group.The depth of sedation,clinical indicators and the occurrence of adverse events in the three groups were compared.Results The shallow sedation attainment rate and Dt shallow sedation attainment rate at each time point in Observation 2 group were significantly higher than those in Observation 1 group and Control group(P<0.05);the differences in HR,RR,MAP,sedation time,mechanical ventilation time,success rate of primary extubation,and hospitalization time at each time point between Observation 2 and Control group were significant(P<0.05);the differences in HR,RR,MAP,success rate of primary extubation,and hospitalization time between Observation 2 group and Observation 1 group were not significant(P>0.05);and the differences in sedation time,mechanical ventilation time,and hospitalization time between Observation 2 and Observation 1 group were significant(P<0.05),MAP,and success rate of primary extubation were not significant(P>0.05),and the differences in sedation time,mechanical ventilation time,and hospitalization time between the two groups were significant(P<0.05);the incidence rates of each adve

关 键 词：有创机械通气 镇痛镇静 阶梯管理 信息化识别 应用效果 

分 类 号：R47[医药卫生—护理学]