现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2009年
15期
2275-2276
,共2页
镇静%机械通气%咪达唑仑%芬太尼
鎮靜%機械通氣%咪達唑崙%芬太尼
진정%궤계통기%미체서륜%분태니
Sedation%Mechanical ventilation%Midazolam%Fentayl
目的:观察咪达唑仑与芬太尼联合用药对于机械通气患者的镇静效果.方法:对30例ICU机械通气患者给予咪达唑仑和芬太尼联合镇静,维持理想的镇静深度3～4级,观察各项镇静指标.结果:镇静效率(87±8.8)%,咪达唑仑镇静满意期间的平均输注速度为(0.14±0.02)mg·kg-1·h-1.镇静期间血压、心率平稳.停药后完全清醒时间为(90±24.8)min,拔除气管插管时间(140±36.6)min.拔管后1h血气正常.结论:咪达唑仑与芬太尼联合用于ICU机械通气患者可获得满意的镇静效果.
目的:觀察咪達唑崙與芬太尼聯閤用藥對于機械通氣患者的鎮靜效果.方法:對30例ICU機械通氣患者給予咪達唑崙和芬太尼聯閤鎮靜,維持理想的鎮靜深度3～4級,觀察各項鎮靜指標.結果:鎮靜效率(87±8.8)%,咪達唑崙鎮靜滿意期間的平均輸註速度為(0.14±0.02)mg·kg-1·h-1.鎮靜期間血壓、心率平穩.停藥後完全清醒時間為(90±24.8)min,拔除氣管插管時間(140±36.6)min.拔管後1h血氣正常.結論:咪達唑崙與芬太尼聯閤用于ICU機械通氣患者可穫得滿意的鎮靜效果.
목적:관찰미체서륜여분태니연합용약대우궤계통기환자적진정효과.방법:대30례ICU궤계통기환자급여미체서륜화분태니연합진정,유지이상적진정심도3～4급,관찰각항진정지표.결과:진정효솔(87±8.8)%,미체서륜진정만의기간적평균수주속도위(0.14±0.02)mg·kg-1·h-1.진정기간혈압、심솔평은.정약후완전청성시간위(90±24.8)min,발제기관삽관시간(140±36.6)min.발관후1h혈기정상.결론:미체서륜여분태니연합용우ICU궤계통기환자가획득만의적진정효과.
Objective:To observe the sedative effect of midazolam and fentanyl on the patients with mechanical ventilation in ICU. Methods:Midazolam and fentanyl were given by continuous infusion following a load dose to provide satisfactory sedation in 30 patients requiring mechanical ventilation. Results:The sedation efficiency was (87±8.8)%.The average infusion rate of midazolam during the sedative period was (0.14±0.02)mg·kg-1·h-1, while the heart rates and blood pressures remained stable. The time for recovery of consciousness was (90±24.8)min and the time to extubation was (140±36.6)min. The blood gas analysis was normal in 1 h after extubation. Conclusion:Midazolam and fentanyl can provide satisfactory sedation for ICU patients.
