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目的探讨ICU机械通气患者镇痛镇静治疗的相关风险因素以及预防措施,从而为疾病的防治提供科学理论依据。方法 120例机械通气持续镇痛镇静治疗患者作为研究对象,观察患者留置管道数量与镇痛镇静合理性之间的关系。结果患者的管道留置数量可影响患者镇痛镇静的合理性。结论对于ICU机械通气进行持续镇静镇痛患者,需要对其进行镇静评估及每日唤醒,避免镇静过浅或镇静过度,保持环境安静,加强循环系统、呼吸系统的管理,加强神经系统监测,使镇静治疗达到目标效果,减少不良事件的发生。
Objective To explore the related risk factors and preventive measures of sedation and analgesia in ICU patients with mechanical ventilation and to provide a scientific theoretical basis for the prevention and treatment of the disease. Methods A total of 120 patients undergoing mechanical ventilation with continuous analgesic sedation were enrolled in this study. The relationship between the number of indwelling catheters and the rationality of analgesic sedation was observed. Results The number of patients in the pipeline indwelling patients with sedation can affect the rationality. CONCLUSIONS: Patients with continuous sedation and analgesia during ICU mechanical ventilation need to be sedated and awakened daily to avoid over-suturing or over-sedation, keep the environment quiet, strengthen the management of the circulatory system and respiratory system, and strengthen the monitoring of the nervous system. Sedative treatment to achieve the desired effect, reduce the incidence of adverse events.