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1、机械通气患者行镇静联合镇痛治疗的护理效果比较段玉(云南省昭通市第一人民医院657000)【摘要】目的通过对机械通气患者行镇痛联合镇静治疗，配合相关护理措施，消除或减轻病人的疼痛及躯体不适感，减少不良刺激及交感神经系统的过度兴奋增加患者的舒适度，保证治疗有效进行。方法收集93例人工气道机械通气患者，分为两组，实验组65例患者釆用镇静和镇痛治疗，对照组28例的患者未采用镇静和镇痛治疗，对其过程和结果进行总结分析。结果65例患者中54例顺利脱机拔管，44例无明显疼痛不适及不良恶性记忆，自动出院7例，发生肺部感染3例，死亡4例。28例患者中11例顺利脱机拔管，
2、5例无明显疼痛不适及不良恶性记忆，自动出院9例，发生肺部感染15例，死亡8例。结论采用镇痛联合镇静治疗可以显著缩短患者在重症医学科住院时间，提高诊疗水平，剂量比单用减少75%以上；对患者实施全面的有针对性的监护，妥善处理复发性躁动不安的患者，避免患者由于各种反应减弱发生意外，提高监护质量水平。【关键词】机械通气镇痛镇静治疗护理效果【中图分类号】R473.6【文献标识码】A【文章编号】2095-1752(2013)30-0387-02Theeffectanalysisofcombinedtreatmentofanalgesiaandsedationonm
3、echanicallyventilatedpatientsDuanYu,TheFirstPeople’sHospitalofZhaoTongCityofYANNAN(657000)[Abstract]Objective:Toexplorewhetherthecombinedeffectofanalgesiaandsedationandrelevantnursingmeasuresonmechanicalventilationpatientscaneliminateorreducethepatient'spainanddiscomfort,r
4、educeadversestimuliandthesympatheticnervoussystemoverexcitationtoensurethetreatmenteffectively.Methods:93mechanicalventilationpatientswereenrolledanddividedintotwogroups,theexperimentalgroupincluded65patientswhoweretreatedwiththeanalgesiaandsedation,thecontrolgroupincluded28pati
5、entswhodidnottreatwiththecombinedtreatment.Results:Inexperimentalgroup,54patientsweresuccessfullyextubatedandoffline,44patientsdidnotfeelnoobviouspainordiscomfortanddidnothavemalignantmemory,7patientslefthospitalautomaticallywithoutcare,4hadpulmonaryinfection,3weredead.Inthecont
6、rolgroup,11patientsweresuccessfullyextubatedandoffline,5patientsdidnotfeelnoobviouspainordiscomfortanddidnothavemalignantmemory,9patientslefthospitalautomaticallywithoutcare,15hadpulmonaryinfection,8weredead.Discussion:Thecombinedtreatmentofanalgesiaandsedationcansignificantlysh
7、ortentheintensivecaremedicinetime,improvetreatment,reducesingledose.Toimplementcomprehensiveandtargetedmonitoringonpatientsandproperlyhandlepatients’recurrentrestlessnesscanavoidaccidentsandimprovethequalityofmonitoring.【Keywords】mechanicalventilationanalgesiaandsedationtr
8、eatmentnursingcareeffect机械通气常用于危重患者的呼吸支持，是治疗各种呼
