BIS监测结合eCASH对ICU机械通气患者谵妄的影响

The Effect of BIS Monitoring Combined with eCASH on Delirium in ICU Mechanically Ventilated Patients

摘要: 目的：探讨BIS监测结合eCASH理念对ICU机械通气患者谵妄的干预效果。方法：于2025年3月至2026年3月期间，选取50例符合纳入标准的ICU机械通气患者，随机分为观察组与对照组，各25例；对照组采用常规镇静护理，观察组在常规基础上实施BIS监测并整合eCASH理念，涵盖最小化镇静、多模式镇痛、睡眠优化、早期活动及人文关怀等措施。结果：观察组谵妄发生率为8.00%，显著低于对照组的36.00%；镇静深度达标率(88.00% vs 56.00%)、机械通气时间(6.15 ± 1.82 d vs 8.92 ± 2.15 d)及ICU住院时间(9.24 ± 2.31 d vs 12.36 ± 2.87 d)均优于对照组，差异具有统计学意义(P < 0.05)。结论：BIS监测联合eCASH理念可有效降低谵妄发生风险，提升镇静管理质量，并促进患者早期康复。

Abstract: Objective: To explore the intervention effect of BIS monitoring combined with eCASH concept on delirium in ICU mechanically ventilated patients. Method: From March 2025 to March 2026, 50 ICU mechanically ventilated patients who met the inclusion criteria were randomly divided into an observation group and a control group, with 25 patients in each group; The control group received routine sedation care, while the observation group received BIS monitoring and integrated eCASH concepts on a routine basis, covering measures such as minimizing sedation, multimodal analgesia, sleep optimization, early activity, and humanistic care. Result: The incidence of delirium in the observation group was 8.00%, significantly lower than the 36.00% in the control group; The compliance rate of sedation depth (88.00% vs 56.00%), mechanical ventilation time (6.15 ± 1.82 d vs 8.92 ± 2.15 d), and ICU stay time (9.24 ± 2.31 d vs 12.36 ± 2.87 d) were all superior to the control group, and the differences were statistically significant (P < 0.05). Conclusion: The combination of BIS monitoring and eCASH concept can effectively reduce the risk of delirium, improve the quality of sedation management, and promote early recovery of patients.