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马 亮.EGDS策略在ICU机械通气患者中的镇静、镇痛效果分析[J].中国现代医生,2021,59(27):139-142
EGDS策略在ICU机械通气患者中的镇静、镇痛效果分析
Analysis on the sedative and analgesic effects of EGDS strategy on patients undergoing mechanical ventilation in ICU
  
DOI:
中文关键词:  EGDS 策略  ICU 病房  机械通气  镇痛  镇静
英文关键词:EGDS strategy  ICU ward  Mechanical ventilation  Analgesia  Sedation
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作者单位
马 亮 黑龙江省佳木斯市中心医院重症医学科黑龙江佳木斯 154002 
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中文摘要:
      目的 探讨EGDS 策略在ICU 机械通气患者中的镇静、镇痛的效果。方法 选取2016 年6 月至2019 年6月我院共收治的60例ICU 机械通气患者为研究对象,随机分为观察组(n=30)与对照组(n=30),对照组给予常规ICU 镇静、镇痛策略,观察组给予EGDS 策略。对比两组的镇静、镇痛效果;ICU 住院天数、机械通气时间及总住院天数;镇痛、镇静药物使用情况;VAP 和UE 发生情况。结果 入院时、入院2 h、入院4 h 后,两组CVP、SVV、CI 比较,差异无统计学意义(P>0.05);入院2 h 后观察组SVI、MAP 高于对照组,差异有统计学意义(P<0.05);入院4 h后观察组HR 高于对照组,差异有统计学意义(P<0.05);观察组ICU 住院天数、机械通气时间与总住院天数明显短于对照组,差异有统计学意义(P<0.05);观察组镇痛和镇静药物使用剂量为(203.23±52.13)mg、(206.32±49.67)mg,明显低于对照组的(342.32±41.56)mg、(331.46±42.48)mg,差异有统计学意义(P<0.05);观察组VAP 和UE 发生率为3.33%、10.00%,明显低于对照组的23.33%、36.67%,差异有统计学意义(P<0.05)。结论 对ICU 机械通气患者应用EGDS 策略能够提升患者的镇静、镇痛效果,缩短患者住院天数,减少镇痛镇静药物使用,不增加VAP 和UE的发生率,有利于减轻患者家属负担,效果确切,值得临床应用推广。
英文摘要:
      Objective To investigate the sedative and analgesic effects of EGDS strategy on patients undergoing mechanical ventilation in ICU.Methods A total of 60 patients undergoing mechanical ventilation in ICU admitted to our hospital from June 2016 to June 2019 were selected as the research objects,and they were randomly divided into the observation group (n=30) and the control group (n=30).The control group was treated with conventional sedation and analgesia strategies in ICU,while the observation group was treated with EGDS strategy.The sedative and analgesic effects,hospitalization days in ICU,mechanical ventilation time,total hospitalization days,the use of analgesic and sedative drugs,incidences of VAP and UE were compared between the two groups.Results There were no statistically significant differences in CVP,SVV and CI in both groups after admission to the hospital,2 hours after admission,and 4 hours after admission(P>0.05).2 hours after admission,the SVI and MAP in the observation group were higher than that in the control group,with significantly difference (P<0.05).4 hours after admission,the HR in the observation group was higher than that in the control group,with significantly difference (P<0.05).The hospitalization days in ICU,mechanical ventilation time,and total hospitalization days in the observation group were significantly shorter than those in the con trol group,with significantly difference(P<0.05).The dosage of analgesic and sedative drugs in the observation group were (203.23±52.13)mg,(206.32±49.67)mg,which were significantly lower than those of (342.32±41.56)mg,(331.46±42.48)mg in the control group,with significantly difference (P<0.05).The incidences of VAP and UE in the observation group were 3.33%,10.00%,which were significantly lower than those of 23.33%,36.67% in the control group,with significantly difference(P<0.05).Conclusion The application of EGDS strategy on patients undergoing mechanical ventilation in ICU can improve the sedative and analgesic effects on patients,shorten the hospitalization days of patients,reduce the use of analgesic and sedative drugs,and do not increase the incidences of VAP and UE.Meanwhile,it is beneficial to reduce the burden of patients′ family members,and the effect is exact,which is worthy of clinical application and promotion.
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