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每日唤醒镇静策略对机械通气患者记忆的影响 被引量：6

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摘要 目的:评估每日唤醒镇静策略对机械通气患者记忆的影响。方法:76例机械通气患者随机分为对照组和治疗组,两组均在舒芬太尼镇痛基础上予咪达唑仑镇静,治疗组实施每日唤醒。评估患者ICU谵妄发生情况,询问患者ICU期间的记忆。结果:57例患者完成调查,治疗组每日咪达唑仑、舒芬太尼剂量低于对照组[(40.8±12.1)mg/例与(52.3±16.2)mg/例,(P=0.04);(263.1±38.6)μg/例与(290.5±39.3)μg/例,(P=0.01)];谵妄、恐惧记忆低于对照组[(26.7%与7.4%,(P=0.04);37.0%与73.3%,(P=0.01)],清醒记忆高于对照组[59.3%与26.7%,(P=0.01)]。结论:每日唤醒增加患者ICU清醒时间和真实记忆,降低ICU谵妄发生率,减少患者ICU期间恐惧感受。
作者 曹莉 韦妍飞 刘燕 张黎 钮晋红
机构地区 广西壮族自治区南溪山医院重症医学科
出处 《广西医科大学学报》 CAS 2013年第1期76-78,共3页 Journal of Guangxi Medical University
基金 广西壮族自治区卫生厅基金资助项目(No.Z2010073)
关键词 每日唤醒 镇静 机械通气 记忆
分类号 R614 [医药卫生—麻醉学]
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参考文献8

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二级参考文献18

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共引文献40

同被引文献38

引证文献6

二级引证文献16

广西医科大学学报
2013年 第1期

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