Ramsay镇静评分法在ICU血液净化患者中的应用评价.docVIP

Ramsay镇静评分法在ICU血液净化患者中的应用评价 　　[摘要] 目的 探讨Ramsay镇静评分法在ICU血液净化患者中的应用效果。 方法 选择2013年1月～2014年1月在ICU收治的血液净化的患者80例，随机分为观察组和对照组各40例，观察组为应用Ramsay镇静评分法进行镇静评估，并根据评估结果调整镇静给药护理方案。对照组为靠经验观察进行镇静给药护理方案。比较两组患者血液净化的指标：堵管贴壁引血不畅、动脉压报警、脱管、破膜、提前换管时间、患者不配合等，以及镇静药用后并发症发生率如低血压、血氧饱和度下降等。 结果 观察组血液净化不良的各项指标：堵管贴壁引血不畅、动脉压报警、脱管、提前换管时间、患者不配合等发生率较对照组减少（P0.05），镇静药用后并发症发生率如血压下降、呼吸抑制较对照组减少（P0.05）。 结论 应用Ramsay镇静评分法监测ICU血液净化患者的镇静效果，可有效减少血液净化并发症的发生率，确保血液净化治疗技术顺利进行。 　　[关键词] 镇静；重症监护；血液净化 　　[中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2015）11-93-03 　　[Abstract] Objective To investigate the Ramsay sedation score method， application effect of blood purification in ICU patients. Methods From January 2013 to January 2014 patients admitted in the ICU of blood purification of 80 cases were randomly divided into observation group and control group 40 cases，observation group for Ramsay sedation score method was used to calm assessment，and adjust the calm to medicine nursing plan according to the evaluation results.The control group to observe the sedation by experience to medicine nursing care plan.Compare two groups of patients blood purification indexes blocking pipe sticking wall and arterial blood pressure alarm and to take off the tube，rupture，ahead of time of the tube，patients dont cooperate，etc.as well as the calm after the medicinal complications such as low blood pressure，blood oxygen desaturation. Results Observation group each index of blood purification blocking pipe sticking wall led not free， arterial blood pressure alarm， take off the tube and tube exchanger ahead of time，patients dont cooperate rate less than the control group （P0.05），composed of medicinal complications such as blood pressure to drop，after respiratory depression were less than the control group （P0.05）. Conclusion Application of Ramsay sedation score method of monitoring the efficacy of blood purification in the ICU patients sedation，the incidence of complications can effectively reduce blood purification，to ensure that blood puri