国际医药卫生导报2013,Vol.19Issue(18):2858-2861,4.DOI:10.3760/cma.j.issn.1007-1245.2013.18.022
右美托咪定对机械通气患者睡眠情况及谵妄发生率的影响
Influences of dexmedetomidine on sleep and delirium incidence rate of patients with mechanical ventilation
摘要
Abstract
Objective To study the effects of dexmedetomidine to sleep and delirium incidence rate of the patients with mechanical ventilation~ Methods From Jan 2011 to Dec 2012,60 patients with mechanical ventilation in intensive care unit (ICU) of our hospital were applicated with dexmedetomidine or imidazole with dexmedetomidine (30 cases in each group) respectively,ramsay score was the criterion to maintain appropriate calm depth.In the two groups,we compared intubation remaining time,mechanical ventilation time in postoperative of endotracheal indwelling and days in ICU,and implementation calm and analgesic drug,and ramsay,the score of visual analogue scale (VAS),the confusion assessment method for the intensive care unit (CAM-ICU),grading Criterion.Results Intubation remaining time,mechanical ventilation time and days in ICU of dexmedetomidine group were better than those of imidazole group (P<0.05),and the incidence of insomnia,delirium were much better than those in imidazole group (P<0.01).Conclusion Dexmedetomidine can significantly reduce the incidence of insomnia and delirium of patients with mechanical ventilation.关键词
右美托咪定/机械通气/镇静评分/谵妄发生率Key words
Dexmedetomidine/ Mechanical ventilation/ Ramsay/ Delirium incidence rate引用本文复制引用
容永璋,林华新,莫玉华..右美托咪定对机械通气患者睡眠情况及谵妄发生率的影响[J].国际医药卫生导报,2013,19(18):2858-2861,4.