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右美托咪定对颅脑损伤患者的镇静效果及不良反应观察
Observation of the Sedative Effects and Adverse Reactions of Dexmedetomidine on the Patients with Craniocerebral Injury
  
DOI:
中文关键词:  右美托咪定  咪达唑仑  颅脑损伤  镇静  药品不良反应
英文关键词:Dexmedetomidine  Midazolam  Craniocerebral injury  Sedation  Adverse drug reaction
基金项目:
作者单位
苏金花 嘉善县第一人民医院ICU(浙江嘉善 314100) 
李亚民 嘉善县第一人民医院ICU(浙江嘉善 314100) 
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中文摘要:
      摘 要 目的:探讨右美托咪定对颅脑损伤患者的镇静效果及其不良反应。方法:90例 ICU病房收治的颅脑损伤患随机分为观察组和对照组各45例,观察组予右美托咪定注射液镇静治疗,对照组予咪达唑仑镇静治疗。比较两组患者的镇静效果、机械通气时间、停药后至唤醒所需要时间和药品不良反应发生情况。结果:两组患者均顺利完成治疗,观察组达到目标镇静的平均时间、达到目标镇静次数,需要干预治疗达到目标镇静次数均明显优于对照组,且观察组面部表情评分降低程度明显优于对照组,差异均有统计学意义(P<0.05);观察组的机械通气时间和停药至唤醒所需时间也明显短于对照组,差异有统计学意义(P<0.05);两组患者发生不良反应和需要干预的例数差异无统计学意义(P>0.05)。结论:右美托咪定对ICU颅脑损伤患者的镇静效果显著,唤醒时间短,无呼吸抑制,且能更好地维持循环稳定,值得临床推广。
英文摘要:
      ABSTRACT Objective::To investigate the sedative effects of dexmedetomidine on patients with craniocerebral injury, and to analyze its adverse reactions. Methods:: 90 cases of craniocerebral injury patients selected from the ICU ward were randomly divided into observation group and control group with 45 cases either. The observation group received their dexmedetomidine injection sedative treatment, and the control group were given midazolam sedation therapy. The sedative effects, mechanical ventilation time, adverse reactions and time needed from stopping to waking up were compared between the two groups.Results::The treatment was successfully completed in the two groups. The treatment of the observation group reached the average time and calm times required by the target sedation. The target sedation times achieved by the treatments were better than those of the control group. VAS score was significantly lower in the observation group than that in the control group, and the differences were statistically significant (P<0.05). The time of mechanical ventilation and time required from stopping to waking up were shorter in the observation group than those in the control group, and the difference was statistically significant (P<0.05); no significant difference occurred in the number of adverse reactions of both groups(P>0.05).Conclusion::The sedative effect of dexmedetomidine on ICU patients with craniocerebral injury was significantly obvious, time of waking up was short, no respiratory depression occurred, and circulation stability could be better maintained, and therefore, it was worth clinical promotion.
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