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目的:探讨镇痛镇静不同等级在重症监护室阻塞性睡眠呼吸暂停低通气综合征术后患者护理效果。方法:将温州市中心医院重症监护室2013年1月至2015年1月60例阻塞性睡眠呼吸暂停低通气综合征术后患者随机分成观察组与对照组各30例,予丙泊酚或咪达唑仑(力月西)镇静、芬太尼镇痛治疗,观察组镇痛采取疼痛行为量表评分3~4分,镇静采取Ramsay镇静量表评级评分5~6级,对照组镇痛采取BPS评分3~4分,镇静采取RRS动态调节,评级3~4级。结果:观察组患者镇痛BPS与镇静RSS评分、不良反应程度、总体满意度优于对照组(P<0.05)。结论:ICU期间阻塞性睡眠呼吸暂停低通气综合征术后观察组的护理效果较好。
Objective: To investigate the effect of different levels of analgesic and sedation in patients with obstructive sleep apnea-hypopnea syndrome after intensive care unit operation. Methods: Sixty patients with obstructive sleep apnea-hypopnea syndrome admitted from ICU in Wenzhou Central Hospital from January 2013 to January 2015 were randomly divided into observation group (30 cases) and control group (30 cases), propofol The rats in the observation group were given 3 to 4 scores of pain behavior scale and 5 to 6 of the Ramsay sedation scale in the observation group. Analgesia was taken in the control group BPS score 3 to 4 points, sedation to take RRS dynamic adjustment, rating 3 to 4. Results: Analgesic BPS and sedation RSS scores, adverse reactions and overall satisfaction were better in the observation group than those in the control group (P <0.05). Conclusion: The nursing effect of observation group after ICU during obstructive sleep apnea-hypopnea syndrome is better.