ICU机械通气患者镇静镇痛策略的研究进展

Research Progress on Sedative and Analgesic Strategies for Patients Undergoing Mechanical Ventilation in ICU

摘要: 重症监护病房(ICU)患者病情危重，常出现呼吸不畅，机械通气是其常用的治疗方法，为促进患者舒适并达到有效治疗的目的,镇静镇痛治疗成为ICU患者治疗的重要内容。但镇静镇痛治疗需要严格把握好度，深度镇静会增加患者病死率，镇痛镇静不足又会导致患者出现人机对抗、焦虑、躁动导致意外拔管等不良事件并增加病人痛苦。随着重症医学的飞速发展，医护人员越来越重视镇静镇痛的规范化治疗，本文对镇静镇痛策略进行综述，以期为临床正确选择并有效实施镇静镇痛治疗及护理提供参考。

Abstract: Patients in the Intensive Care Unit (ICU) are critically ill and often experience difficulty breathing. Mechanical ventilation is a commonly used treatment method. To promote patient comfort and achieve effective treatment, sedative and analgesic therapy has become an important part of ICU patient treatment. However, sedative and analgesic treatment requires strict control of the degree. Deep sedation can increase the mortality rate of patients, while insufficient sedation can lead to adverse events such as humanmachine confrontation, anxiety, restlessness, and accidental extubation, which can increase patient pain. With the rapid development of critical care medicine, medical staff are increasingly paying attention to standardized treatment of sedation and analgesia. This article reviews sedation and analgesia strategies in order to provide reference for the correct selection and effective implementation of sedation and analgesia treatment and nursing in clinical practice.