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应用咪达唑仑与右美托咪定的镇静效果比较
引用本文:彭发坤.应用咪达唑仑与右美托咪定的镇静效果比较[J].中国现代医生,2014(31):64-66.
作者姓名:彭发坤
作者单位:浙江省磐安县人民医院ICU重症病房,浙江磐安322300
基金项目:浙江省科研计划支持项目(2012CR6213)
摘    要:目的探究重症监护室中应用咪达唑仑与右美托咪定的镇静效果。方法将我院ICU收治的100例行机械通气患者,随机分成A、B两组,每组50例,A组使用咪达唑仑镇静,B组使用右美托咪定镇静,比较两组患者的镇静效果。结果 A组患者达镇静满意时间显著短于B组患者(P〈0.05),而A组的不良反应发生率、停药后唤醒所需时间均显著高于B组(P均〈0.05);A组患者的镇静满意率显著低于B组(P〈0.05)。结论右美托咪定应用于重症监护室患者起效较慢,但唤醒时间短、不良反应发生率低、镇静满意度高。

关 键 词:右美托咪定  咪达唑仑  镇静效果

Comparison of midazolam and dexmedetomidine on the effect of sedation
Authors:PENG Fakun
Institution:PENG Fakun (ICU Intensive Care, the People' s Hospital of Pan' An County in ZheJang Province, Pan' an 322300, China)
Abstract:Objective To explore the sedative effects of midazolam and dexmedetomidine in the intensive care unit. Methods A total of 100 patients admitted in our hospital ICU mechanical ventilation were randomly divided into A, B two groups, each group of 50 cases, group A received midazolam treatment, while group B received the dexmedetomi- dine treatment, the sedative effect were compared between two groups of patients. Results The time that patients of group A needed to reach calm satisfaction was significantly shorter than group B patients(P〈0.05), and the incidence of adverse reaction, the time needed for withdrawal after wake up of group A was both significantly higher than group B respectively(P〈0.05); Group A's calm satisfaction rate was significantly lower than group B(P〈0.05). Conclusion Dexmedetomidine used in ICU patients with slow onset, but the wake-up time is short, with low incidence of adverse reactions and sedation high satisfaction.
Keywords:Dexmedetomidine  Midazolam  Sedative effect
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