临床肺科杂志
臨床肺科雜誌
림상폐과잡지
Journal of Clinical Pulmonary Medicine
2015年
11期
2008-2010
,共3页
王润丰%朱永忠%杜成%夏梦%庞加磊%王研
王潤豐%硃永忠%杜成%夏夢%龐加磊%王研
왕윤봉%주영충%두성%하몽%방가뢰%왕연
重症呼吸科%Narcotrend监测%右美托咪定%OAA/S评分
重癥呼吸科%Narcotrend鑑測%右美託咪定%OAA/S評分
중증호흡과%Narcotrend감측%우미탁미정%OAA/S평분
intensive care unit of respiratory%Narcotrend monitor%dexmedetomidine%OAA/S score
目的:探讨使用Narcotrend指导重症呼吸科患者使用右美托咪定镇静的个体化相关性研究,以达到降低药物副作用的目的。方法选取54例重症呼吸科患者,随机分为两组,给予右美托咪定镇静治疗,实验组以NTI值( Narcotrend检测仪根据镇静患者脑电信号量化形成的0~100的数值,用以客观反映镇静深度)75~85为目标调节泵速。对照组将Narcotrend监测仪显示屏幕反转,专人记录NTI数值,以镇静/警觉( OAA/S)评分3~4级为目标值调节泵速。分别记录生命体征,镇静深度,动脉血气变化情况,比较两组间上述指标差异。结果两组间比较,同一时间段NTI及OAA/S评分变化一致,差异无统计学意义( P>0.05)。结论 Narcotrend能准确有效显示重症呼吸科患者使用右美托咪定的镇静深度,且数据客观连续,为重症呼吸科患者镇静,提供新的依据。
目的:探討使用Narcotrend指導重癥呼吸科患者使用右美託咪定鎮靜的箇體化相關性研究,以達到降低藥物副作用的目的。方法選取54例重癥呼吸科患者,隨機分為兩組,給予右美託咪定鎮靜治療,實驗組以NTI值( Narcotrend檢測儀根據鎮靜患者腦電信號量化形成的0~100的數值,用以客觀反映鎮靜深度)75~85為目標調節泵速。對照組將Narcotrend鑑測儀顯示屏幕反轉,專人記錄NTI數值,以鎮靜/警覺( OAA/S)評分3~4級為目標值調節泵速。分彆記錄生命體徵,鎮靜深度,動脈血氣變化情況,比較兩組間上述指標差異。結果兩組間比較,同一時間段NTI及OAA/S評分變化一緻,差異無統計學意義( P>0.05)。結論 Narcotrend能準確有效顯示重癥呼吸科患者使用右美託咪定的鎮靜深度,且數據客觀連續,為重癥呼吸科患者鎮靜,提供新的依據。
목적:탐토사용Narcotrend지도중증호흡과환자사용우미탁미정진정적개체화상관성연구,이체도강저약물부작용적목적。방법선취54례중증호흡과환자,수궤분위량조,급여우미탁미정진정치료,실험조이NTI치( Narcotrend검측의근거진정환자뇌전신호양화형성적0~100적수치,용이객관반영진정심도)75~85위목표조절빙속。대조조장Narcotrend감측의현시병막반전,전인기록NTI수치,이진정/경각( OAA/S)평분3~4급위목표치조절빙속。분별기록생명체정,진정심도,동맥혈기변화정황,비교량조간상술지표차이。결과량조간비교,동일시간단NTI급OAA/S평분변화일치,차이무통계학의의( P>0.05)。결론 Narcotrend능준학유효현시중증호흡과환자사용우미탁미정적진정심도,차수거객관련속,위중증호흡과환자진정,제공신적의거。
Objective To explore the application value of Narcotrend in guiding the use of dexmedetomidine sedation in intensive care unit of respiratory. Methods 54 patients in respiratory IC were randomly divided into the experimental group and the control group. All patients were given dexmedetomidine sedation. The experimental group adjusted the dexmedetomidine dose to achieve NTI values 75~85 ( narcotrend detector displaying 0~100 according to EEG of patients to reflect the depth of sedation) , and the control group adjusted the dexmedetomidine dose to a-chieve OAA/S score 3~4 scale. The vital signs, degree of sedation and blood gas changes were recorded and comp-ered between the two groups. Results NTI and OAA/S score had no statistically significant difference between the two groups at the same time. Conclusion Narcotrend can accurately and effectively reflect the degree of sedation of patients in respiratory ICU, and the data are objective and continuous, which can provide a new means to guide seda-tion.