右美托咪定在高龄患者机械通气初期的应用疗效及护理观察

Effect and Nursing Observation ofDexmedetomidine in the Early Stage ofMechanical Ventilation in Elderly Patients

摘要: 目的：探讨右美托咪定在高龄患者机械通气初期的疗效观察。方法：选择中国人民解放军总医院第七医学中心干部病房二科自2017年5月至2018年10月期间收治回顾性分析的30例高龄机械通气患者初期使用右美托咪定的效果进行对照研究。结果：对高龄机械通气患者初期使用右美托咪定不仅可以减轻患者紧张和焦虑心理，还能使插管顺利进行，并无不良反应。结论：老年高龄患者对气管插管耐受性差，易烦燥不安，建议使用镇静药如右美托咪定，为最大限度地降低氧耗，减轻痛苦，尽早脱离呼吸机。

Abstract: Objective: To investigate the efficacy of dexmedetomidine in the early stage of mechanical ventila-tion in elderly patients. Methods: The results of the initial use of dexmedetomidine in 30 patients with advanced mechanical ventilation who underwent retrospective analysis from May 2017 to October 2018 were selected from the Department of Pediatric Ward of the Seventh Medical Center of the People's Liberation Army General Hospital. Results: The initial use of dexmedetomidine in elderly patients with mechanical ventilation not only relieved the patient's nervousness and an-xiety, but also enabled the intubation to proceed smoothly without adverse reactions. Conclusion Elderly patients with poor tolerance to tracheal intubation are prone to irritability. It is recom-mended to use sedatives such as dexmedetomidine to minimize oxygen consumption, relieve pain, and get rid of the ventilator as soon as possible.