颅脑外伤患者躁动原因分析及应用镇静药物后呼吸频率、血氧分压及平均动脉压情况观察

    Analysis of the causes of restlessness,and the observation of respiratory rate,blood oxygen pressure and mean arterial pressure after the use of sedative drug in craniocerebral trauma patients

    • 摘要: 目的:探讨颅脑外伤患者躁动原因以及镇静药物后呼吸频率(RR)、动脉血氧分压(PaO2)及平均动脉压(MAP)情况。方法:选择颅脑外伤患者100例,按照患者的入院顺序将其分为观察组和对照组,各50例。对2组患者的躁动原因进行分析,对照组采用丙泊酚、咪达唑仑进行联合治疗,观察组采用右美托咪定镇静治疗。结果:2组患者用药后RR和MAP均较用药前明显减少,而PaO2显著增加(P<0.01);观察组患者在用药中和用药后的RR与MAP均较对照组减小,PaO2明显增加(P<0.01);观察组患者躁动控制有效率达100.00%,躁动控制效果明显优于对照组(P<0.01)。结论:颅脑外伤患者采用右美托咪定进行治疗镇定效果明显,对患者的清醒过程不造成影响,对患者的呼吸无抑制作用,是较理想的镇静药物。

       

      Abstract: Objective:To investigate the causes of restlessness,and observe the respiratory rate(RR),blood oxygen pressure(PaO2) and mean arterial pressure(MAP) after the use of sedative drugs in craniocerebral trauma patients.Methods:One hundred patients with craniocerebral trauma were divided into the observation group and control group according to the order of admission(50 cases each group).The reasons of restlessness in two groups were analyzed.The control group were treated with propofol combined with midazolam,and the observation group were treated with dexmedetomidine sedation.Results:Compared before treatment,the RR and MAP in two groups significantly decreased,but the PaO2 significantly increased after treatment.Compared with the control group,the decreasing degree of the RR and MAP during treatment and after treatment was small,but the increasing degree of PaO2 was mang in observation group(P<0.01).The effective rate of agitation control in observation group(100.00%) was significantly better than that in control group(P<0.01).Conclusions:The calming effect of dexmedetomidine on craniocerebral trauma patients is obvious,which does not impact on the conscious process and inhibit breathing,and is an ideal sedative drug.

       

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