CAJ | 학술논문

目的：探讨每日唤醒（ DIS）应用于神经科行机械通气重症患者中的效果。方法：将符合纳入标准的80例患者按随机数字表法分为观察组（每日唤醒）和对照组（持续镇静）各40例，观察两组机械通气时间、人工气道留置时间、ICU住院时间和护士工作负荷的差异。结果：观察组患者机械通气时间、人工气道留置时间和ICU住院时间低于对照组，但差异无统计学意义（ P＞0．05）；而护士工作负荷明显高于对照组，差异有统计学意义（P＜0．01）。结论：DIS不能显著减少神经科重症患者的机械通气时间、人工气道留置时间和ICU住院时间，同时增加护士临床工作量，故DIS不适用于神经科重症患者。
목적：탐토매일환성（ DIS）응용우신경과행궤계통기중증환자중적효과。방법：장부합납입표준적80례환자안수궤수자표법분위관찰조（매일환성）화대조조（지속진정）각40례，관찰량조궤계통기시간、인공기도류치시간、ICU주원시간화호사공작부하적차이。결과：관찰조환자궤계통기시간、인공기도류치시간화ICU주원시간저우대조조，단차이무통계학의의（ P＞0．05）；이호사공작부하명현고우대조조，차이유통계학의의（P＜0．01）。결론：DIS불능현저감소신경과중증환자적궤계통기시간、인공기도류치시간화ICU주원시간，동시증가호사림상공작량，고DIS불괄용우신경과중증환자。
Objective:To investigate the effect of daily interruption of sedation to critially ill patients with mechanical ventilation in the department of neurology .Methods:80 patients who meet the inclusion criteria were randomly divided into the observation group ( daily inter-ruption of sedation ) and the control group ( continuous sedation ,40 cases in each group ) .The differences of the duration of mechanical ven-tilation,the retaining time of artificial airway ,length of stay in ICU and workload of nurses were observed in both groups .Results:The dura-tion of mechanical ventilation ,the retaining time of artificial airway and length of stay in ICU were shorter in the observation group than the control group,but the differences were not statistically significant (P>0.05);the workload of nurses was significantly heavier in the obser-vation group than the control group (P<0.01).Conclusion:Daily interruption of sedation can not significantly reduce the duration of me-chanical ventilation ,the retaining time of artificial airway and length of stay in ICU ,at the same time it increases the workload of clinical nurses,so daily interruption of sedation is not suitable for the critically ill patients in the department of neurology .