【正文】
得到了明顯的改善。本研究采用CPOT評(píng)分及Ramsay評(píng)分系統(tǒng)對(duì)患者進(jìn)行合理有效的鎮(zhèn)靜鎮(zhèn)痛評(píng)估[10],結(jié)果可見(jiàn)右美托咪定聯(lián)合布托啡諾可達(dá)到良好的鎮(zhèn)靜鎮(zhèn)痛效果且達(dá)標(biāo)時(shí)間較短。綜上所述,布托啡諾聯(lián)合右美托咪定可達(dá)到良好的鎮(zhèn)靜鎮(zhèn)痛效果,血流動(dòng)力學(xué)影響小,呼吸抑制輕,是ICU理想的鎮(zhèn)靜鎮(zhèn)痛方案。參考文獻(xiàn):[1] 孔令貴,文輝,劉觀斌,[J]. 中國(guó)中西醫(yī)結(jié)合急救雜志, 2015, 22(5):524526.[2] Farag E,Argalious M,AbdElsayed A,et use of dexmedetomidine in anesthesia and intensive care:a review[J].Curr Pharm Des,2912,18(38): 62576265. [3] [J]. 中國(guó)實(shí)用醫(yī),2016,11( 8):1011.[4] Arora RS,Kulkarni KP,Alston RD. A survey of procedural sedation and analgesia practices in pediatric oncology centers in India[J].Indian J Pediatr,2012,79(12): 16101616.[5]Patel SB,Kress JP. Sedation and analgesia in the mechanically ventilated patient [J] . Am J Respir Crit Care Med,2012,185(5):486497. [6] 章向成,臧奎,郭世光,[J] .中國(guó)中西醫(yī)結(jié)合急救雜志,2015, 22(2):157159.[7] Patel SB,Kress JP. Sedation and analgesia in the mechanically ventilated patient [J]. Am J Respir Crit Care Med,2012,185(5):486497.[8] 張妍,姜利軍,[J]. 中華危重病急救醫(yī)學(xué),2011,23(7):439440. [9]徐杰,馬明遠(yuǎn),[J].中國(guó)中西醫(yī)結(jié)合急救雜志,2014,21(3): 225228. [10] 徐惠鋒, ICU 的應(yīng)用[J].浙江創(chuàng)傷外科,2015,1:143145