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目的总结早期目标导向型镇静策略在42例机械通气患者中的应用及护理。方法选择镇痛为先的镇静方案;严格以早期浅镇静为目标,维持Richmond躁动镇静评分为-2~1分;早期(机械通气12h内)开始规范的、反复的镇静评估调整药物剂量。结果 42例患者48h内浅镇静达标率为56.05%,谵妄发生率为14.29%,ICU平均住院时间为(8.32±2.06)d。结论早期目标导向型镇静策略是个体化、程序化、滴定式、最小化镇静策略的体现,为重症患者镇静治疗护理提供了新理念。
Objective To summarize the early goal-oriented sedation strategy in 42 patients with mechanical ventilation and nursing. Methods The sedation regimen was selected as the first sedation. The patients were given Sham-Restraint Sedation (SIR) score of 2 to 1 at strict early stage of sedation. Standardized and repeated sedation evaluation was performed in the early stage (within 12 hours of mechanical ventilation). Results 42 cases of patients within 48h light-touch rate of 56.05%, the incidence of delirium was 14.29%, ICU average hospital stay was (8.32 ± 2.06) d. Conclusion Early goal-oriented sedation strategy is a manifestation of individualized, procedural, titration, and minimized sedation strategies, providing a new concept for the sedation treatment and care of critically ill patients.