Rass评分在预防ICU患者非计划性拔管中的应用效果观察
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摘要
目的观察Rass评分在预防ICU患者非计划性拔管中的应用效果。方法将120例ICU收治的插管患者随机分为对照组与观察组,两组均采用ICU常规护理,对照组给予基础镇静,观察组给予Rass评分指导镇静。比较两组非计划性拔管发生率、病死率、住院时间以及护理过程中不良反应发生情况。结果观察组非计划性拔管发生率低于对照组(1.67%vs 11.67%,P<0.05);观察组病死率低于对照组(1.67%VS 16.67%,P<0.05);两组住院时间差异无统计学意义(P>0.05);观察组并发症发生率低于对照组(3.33%VS 18.33%,P<0.05)。结论 Rass评分可有效预防ICU患者非计划性拔管发生率,降低不良事件发生率及不良反应发生率,值得临床推广应用。
Objective To observe the effect of Rass score in the prevention of unplanned extubation in patients with ICU.Methods 120 intubated patients who received ICU were randomly divided into the control group and the observation group.Both groups received routine ICU care.The control group received basic sedation.The observation group received Rass score to guide sedation.The incidence of unplanned extubation,mortality,length of stay,and adverse reactions during care were compared between the two groups.Results The incidence of unplanned extubation was lower in the observation group than in the control group(1.67% vs 11.67%,P<0.05).The mortality rate in the observation group was lower than that in the control group(1.67% VS 16.67%,P<0.05).There was no significant difference in the length of stay between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group(3.33% vs 18.33%,P<0.05).Conclusion Rass score can effectively prevent the incidence of unplanned extubation in ICU patients,reduce the incidence of adverse events and the incidence of adverse reactions,it is worthy of clinical application.
Objective To observe the effect of Rass score in the prevention of unplanned extubation in patients with ICU.Methods 120 intubated patients who received ICU were randomly divided into the control group and the observation group.Both groups received routine ICU care.The control group received basic sedation.The observation group received Rass score to guide sedation.The incidence of unplanned extubation,mortality,length of stay,and adverse reactions during care were compared between the two groups.Results The incidence of unplanned extubation was lower in the observation group than in the control group(1.67% vs 11.67%,P<0.05).The mortality rate in the observation group was lower than that in the control group(1.67% VS 16.67%,P<0.05).There was no significant difference in the length of stay between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group(3.33% vs 18.33%,P<0.05).Conclusion Rass score can effectively prevent the incidence of unplanned extubation in ICU patients,reduce the incidence of adverse events and the incidence of adverse reactions,it is worthy of clinical application.
引文
[1] 王助衡,史春芝,孙立平,等.自发性颅内出血术后早期应用短期深镇静策略的随机对照研究[J].中华危重病急救医学,2017,29(11):1004-1009.
[2] 周洁,杨明全,张碧,等.ICU机械通气患者右美托咪定镇静降低病死率[J].中国急救复苏与灾害医学杂志,2017,12(7):635-638.
[3] 毕展建,高飞,时玲燕,等.RASS 评分对感染性休克患者改良早期目标导向治疗的探讨[J].中华医院感染学杂志,2016,26(19):4422-4424.
[4] 潘爱红.RASS镇静评分在机械通气患者镇静治疗中的应用[J].齐鲁护理杂志,2016,22(15):106-108.
[5] 杨雪,王喜今,姜玮,等.Richmond 躁动镇静评分量表评估电休克治疗后谵妄的信度及效度[J].临床精神医学杂志,2016,26(2):86-88.
[6] 董春丽,郑伟,罗莉.RASS对ICU机械通气患者镇静的疗效分析[J].中国急救复苏与灾害医学杂志,2016,11(10):975-977.
[7] 杨明全,周洁,曹建伟,等.ICU机械通气患者右美托咪定镇静的安全性评价[J].中华危重病急救医学,2016,28(9):839-844.
[8] 刘娇,周恩济,曾斌,等.RASS 评分指导镇静镇痛对 ICU 中心静脉导管意外拔管的影响[J].中国医刊,2016,51(7):49-53,54.
[9] 张剑剑,罗在琼,徐佩丽.RASS评分在神经外科烦躁患者中的应用[J].齐齐哈尔医学院学报,2015,36(34):5295-5296.
[10] 王湘,徐道妙,曹岚.两种镇静方法对机械通气患者镇静效果的比较[J].医学临床研究,2015,32(6):1200-1202.
[11] 王巍,胡东东,王玲,等.不同镇静药物对轻中度颅脑损伤镇静效果的比较研究[J].临床神经外科杂志,2015,12(6):464-466.
[12] 管源涵.ICU内体外循环心脏术后谵妄患者早期治疗的临床研究[D].新疆医科大学,2017.
[13] 宋婷婷,谢秀华,宋蓓,等.RASS 评分在预防机械通气患者非计划性拔管中的应用[J].当代护士(中旬刊),2015,5:95-97.
[2] 周洁,杨明全,张碧,等.ICU机械通气患者右美托咪定镇静降低病死率[J].中国急救复苏与灾害医学杂志,2017,12(7):635-638.
[3] 毕展建,高飞,时玲燕,等.RASS 评分对感染性休克患者改良早期目标导向治疗的探讨[J].中华医院感染学杂志,2016,26(19):4422-4424.
[4] 潘爱红.RASS镇静评分在机械通气患者镇静治疗中的应用[J].齐鲁护理杂志,2016,22(15):106-108.
[5] 杨雪,王喜今,姜玮,等.Richmond 躁动镇静评分量表评估电休克治疗后谵妄的信度及效度[J].临床精神医学杂志,2016,26(2):86-88.
[6] 董春丽,郑伟,罗莉.RASS对ICU机械通气患者镇静的疗效分析[J].中国急救复苏与灾害医学杂志,2016,11(10):975-977.
[7] 杨明全,周洁,曹建伟,等.ICU机械通气患者右美托咪定镇静的安全性评价[J].中华危重病急救医学,2016,28(9):839-844.
[8] 刘娇,周恩济,曾斌,等.RASS 评分指导镇静镇痛对 ICU 中心静脉导管意外拔管的影响[J].中国医刊,2016,51(7):49-53,54.
[9] 张剑剑,罗在琼,徐佩丽.RASS评分在神经外科烦躁患者中的应用[J].齐齐哈尔医学院学报,2015,36(34):5295-5296.
[10] 王湘,徐道妙,曹岚.两种镇静方法对机械通气患者镇静效果的比较[J].医学临床研究,2015,32(6):1200-1202.
[11] 王巍,胡东东,王玲,等.不同镇静药物对轻中度颅脑损伤镇静效果的比较研究[J].临床神经外科杂志,2015,12(6):464-466.
[12] 管源涵.ICU内体外循环心脏术后谵妄患者早期治疗的临床研究[D].新疆医科大学,2017.
[13] 宋婷婷,谢秀华,宋蓓,等.RASS 评分在预防机械通气患者非计划性拔管中的应用[J].当代护士(中旬刊),2015,5:95-97.
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