医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
9期
428-428
,共1页
脑损伤%镇痛镇静%护理%观察
腦損傷%鎮痛鎮靜%護理%觀察
뇌손상%진통진정%호리%관찰
traumatic brain injury%analgesia and sedative%nursing%observation
目的:镇痛镇静治疗是重症脑损伤患者治疗的重要组成部分。通过神经外科62例脑损伤患者疼痛、焦虑、躁动的特点,探讨适合脑损伤患者病情特点的镇痛镇静策略与系统化的护理。方法通过建立 GCS,镇静/激动(SAS)评分系统,非言语疼痛评分(NVPS),脑电双频指数监测,神经系统影像学检查,合理应用镇痛镇静剂,采取有效护理干预。结果脑损伤镇痛镇静处置以非药物为首选;药物治疗需不得已而为之;镇痛镇静药宜选用短效、速效药物个体化使用,动态监测镇痛镇静效果有利于评估脑损伤患者病情。采取有效的护理措施可降低意外拔管率和意外状况发生。结论镇痛镇静处置是脑损伤患者重要的治疗策略。
目的:鎮痛鎮靜治療是重癥腦損傷患者治療的重要組成部分。通過神經外科62例腦損傷患者疼痛、焦慮、躁動的特點,探討適閤腦損傷患者病情特點的鎮痛鎮靜策略與繫統化的護理。方法通過建立 GCS,鎮靜/激動(SAS)評分繫統,非言語疼痛評分(NVPS),腦電雙頻指數鑑測,神經繫統影像學檢查,閤理應用鎮痛鎮靜劑,採取有效護理榦預。結果腦損傷鎮痛鎮靜處置以非藥物為首選;藥物治療需不得已而為之;鎮痛鎮靜藥宜選用短效、速效藥物箇體化使用,動態鑑測鎮痛鎮靜效果有利于評估腦損傷患者病情。採取有效的護理措施可降低意外拔管率和意外狀況髮生。結論鎮痛鎮靜處置是腦損傷患者重要的治療策略。
목적:진통진정치료시중증뇌손상환자치료적중요조성부분。통과신경외과62례뇌손상환자동통、초필、조동적특점,탐토괄합뇌손상환자병정특점적진통진정책략여계통화적호리。방법통과건립 GCS,진정/격동(SAS)평분계통,비언어동통평분(NVPS),뇌전쌍빈지수감측,신경계통영상학검사,합리응용진통진정제,채취유효호리간예。결과뇌손상진통진정처치이비약물위수선;약물치료수불득이이위지;진통진정약의선용단효、속효약물개체화사용,동태감측진통진정효과유리우평고뇌손상환자병정。채취유효적호리조시가강저의외발관솔화의외상황발생。결론진통진정처치시뇌손상환자중요적치료책략。
Objective Analgesic sedation therapy is an important treatment for the patients with traumatic brain injury.We reviewed 62 craniocerebral injury patients who were pain anx-ious and restless in neurosurgery department,in order to explore the treatment method and synthesis nursing of analgesia and sedative for the patients with traumatic brain injury.Methods We took ef ective nursing intervention by using glasgow coma scale,sedation -agitation scale,nonverbal pain scale,bispectral index,imaging examination of nervous system,the rational use of an-algesic and sedative.Result Analgesia and sedative drugs were not the frist choice but the last choice for the patients with traumatic brain injury;dynamic assessment of analgesia and sedative ef ect from time to time helped to distinguish the deteriorated consciousness disturbance of brain injury.Analgesia and sedative drugs should have the advantages of immediate ef ect,short ef ect ,they should be used individual y.It reduced the accidents of decannulation rates and accident rates by took ef ective nursing measures.Conclusion Analgesia and sedative treatment is an impor-tant strategy for the patients with traumatic brain injury.