多发伤术后镇痛镇静患者每日唤醒护理策略

    Daily wake-up strategy for multiple trauma patients receiving postoperative sedation and analgesia

    • 摘要: 目的:探讨多发伤术后镇痛镇静患者每日唤醒期间实施的特殊护理策略及效果。方法:回顾性分析36例多发伤患者,术后转入ICU,接受机械通气治疗,并持续实施芬太尼和咪达唑仑镇静镇痛治疗,分为唤醒组和对照组各18例。对照组给予常规治疗及护理,唤醒组给予每日唤醒策略,并在此期间实施特殊的护理干预措施。比较2组患者镇痛镇静药物用量、机械通气时间、ICU住院时间和住院总费用等指标。结果:唤醒组镇痛镇静药物用量、机械通气时间、ICU治疗时间及住院总费用均少于对照组(P<0.05~P<0.01)。结论:多发伤术后镇痛镇静患者行每日唤醒策略并配合相关护理措施,可以减少镇静镇痛药物用量,缩短机械通气和ICU住院时间,降低住院费用。

       

      Abstract: Objective: To investigate the effects of daily wake-up strategy on multiple trauma patients receiving postoperative sedation and analgesia.Methods: Thirty-six patients with multiple traumas were analyzed retrospectively.All the cases who were transferred to ICU after operation and received mechanical ventilation and sustained implementation of fentanyl and midazolam were divided into wake-up group(n=18) and control group(n=18).The patients in the wake-up group were applied daily wake-up strategy and special care interventions,while the control group received only the routine treatment and care.The dosage of sedative and analgesic drugs,the duration of mechanical ventilation,the length of ICU stay and the hospital cost were compared between the two groups.Results: The differences were statistically significant(P<0.05 to P<0.01) in the wake-up group and the control group in the dosage of sedative and analgesic drugs,duration of mechanical ventilation,length of ICU stay and hospital costs.Conclusions: The daily wake-up strategy combined with proper nursing care may not only reduce the dosage of sedative and analgesic drugs,shorten the length of mechanical ventilation and ICU stay but decrease the hospital cost for the multiple trauma patients receiving postoperative sedation and analgesia.

       

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