静脉注射咪达唑仑与芬太尼用于ICU机械通气患者镇静的临床观察 |
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引用本文: | 赵广阔,张芝晶. 静脉注射咪达唑仑与芬太尼用于ICU机械通气患者镇静的临床观察[J]. 现代医药卫生, 2009, 25(15): 2275-2276 |
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作者姓名: | 赵广阔 张芝晶 |
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作者单位: | 大连市中心医院急诊病房,辽宁,大连,116033 |
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摘 要: | 目的:观察眯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。
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关 键 词: | 镇静 机械通气 咪达唑仑 芬太尼 |
Sedative effect of midazolam and fentanyl on ventilated patients in ICU |
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Affiliation: | ZHAO Guang-kuo , ZHA NG Zhi-jing (Department of Emergency ,Dalian Central Hospital,Dalian,Liaoning 116033, China ) |
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Abstract: | 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. Condusion:Midazolam and fentanyl can provide satisfactory sedation for ICU patients. |
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Keywords: | Sedation Mechanical ventilation Midazolam Fentayl |
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