每日喚醒在機(jī)械通氣患者鎮(zhèn)靜過(guò)程中的作用分析.doc

每日喚醒在機(jī)械通氣患者鎮(zhèn)靜過(guò)程中的作用分析 李牧陳香玉溫小連 增城市人民醫(yī)院ICU，廣東增城511300 摘要目的探討每日喚醒在機(jī)械通氣患者鎮(zhèn)靜過(guò)程中的臨床作用效果。方法將xx年1月xx年12月入住該院ICU行機(jī)械通氣需要鎮(zhèn)靜治療的50例患者，隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組（n=25），實(shí)驗(yàn)組實(shí)施每日喚醒計(jì)劃，對(duì)照組不實(shí)施每日喚醒計(jì)劃。對(duì)比分析兩組患者機(jī)械通氣時(shí)間、ICU住院時(shí)間和總住院時(shí)間，以及鎮(zhèn)靜時(shí)間情況。結(jié)果與對(duì)照組相比，實(shí)驗(yàn)組機(jī)械通氣時(shí)間、ICU住院時(shí)間和總住院時(shí)間，以及鎮(zhèn)靜時(shí)間均縮短，差異均有統(tǒng)計(jì)學(xué)意義（P0.05）。結(jié)論每日喚醒可減少患者機(jī)械通氣時(shí)間和重癥監(jiān)護(hù)室停留時(shí)間。 關(guān)鍵詞每日喚醒；機(jī)械通氣；鎮(zhèn)靜 R473.3A1674-074（4）07（b）057-02 AnalysisoftheEffectofDailyAwakeningonSedationinPatientsDuringMechanicalVentilation LIMuCHENXiangyuWENXiaolian ICU，ZengchengPeoplesHospital，Zengcheng，GuangdongProvince，511300，China AbstractObjectiveToinvestigatetheclinicaleffectofdailyawakeningonsedationinpatientsduringmechanicalventilation.Methods50casesofpatientsadmittedintheICUofourhospitalfromJanuary，xxtoDecember，xxformechanicalventilationandsedativetreatmentwererandomlydividedintoexperimentalgroupandcontrolgroupwith25casesineach.Dailyawakeningplanwascarriedoutintheexperimentalgroupbutnotinthecontrolgroup.Thedurationofmechanicalventilation，lengthofstayintheICU，thetotalhospitalizationtimeandthesedationtimeofthetwogroupswerepared.ResultsComparedwiththecontrolgroup，thedurationofmechanicalventilation，lengthofstayintheICU，totalhospitalizationtimeandsedationtimeoftheexperimental