重症哮喘患者机械通气时使用镇静和肌松剂的观察与护理.pdfVIP

中华护理杂志 年 月第 卷第 期 ·420 · 2010 5 45 5 Chin J Nurs, May 2010, Vol 45, No．5 重症哮喘患者机械通气时使用镇静和肌松剂的观察与护理 陈海燕 徐玲芬 崔恩海 【摘要】 目的 观察机械通气联用镇静剂和肌肉松弛剂治疗重症哮喘患者的疗效、不良反应，为临床护理提供依据。 方法 选 择RICU 3年以上工作经验的护理人员参与完成通气监护、镇静效果评估及人工气道管理等护理工作。 结果 18例经过6-192h ， 平均（48.2±42.2 ）h 的镇静、肌松剂配合机械通气的综合治疗与护理，均抢救成功。撤机后循环及动脉血气指标（PaO2 、PaCO2 ）明显 改善，与机械通气前比较差异有统计学意义（P0.01 ）。 结论 机械通气中联用镇静剂和肌肉松弛剂的治疗过程中，正确的镇静 效果评估等护理工作是保证疗效、减少并发症的重要环节。 【关键词】 通气机，机械； 肌松弛药，中枢性； 催眠药和镇静药； 哮喘； 护理 Nursing care of severe asthma patients treated by sedatives and muscle relaxants combined with mechanical ventila- ， ， tion/CHEN Hai-yan XU Ling-fen CUI En-hai 【Abstract 】 Objective To introduce the nursing care of severe asthma patients treated by sedatives and muscle relaxants combined with mechanical ventilation． Methods Nurses with more than 3 years of working experiences in respiratory intensive care unit participated in the nursing care ，such as ventilation monitoring ，sedative effect assessment and artificial airway man- ， agement． Results All the 18 patients were treated successfully and the duration of mechanical ventilation ranged from 6 to 192 hours． The indicators of circulation and arterial gas after weaning were improved significantly （P0.01 ）． Conclusion Prop- er nursing care and correct sedative effect assessment is an important point to ensure treatment efficacy and reduce complica - tions for severe asthma patients treated by sedatives and muscle relaxants combined with mechanical ventilation. 【Key words 】 Ventilaters ，Mec