目的 探讨BIS联合RASS监测下的目标性镇静护理在心脏外科监护室中的应用效果.方法 选取2016年6—12月在该科行心脏手术的64例患者,随机分为对照组和观察组各32例.对照组采用在BIS监测下的常规镇静护理,观察组采用BIS联合RASS共同监测下的目标性镇静护理,比较两组患者术后在CICU内的镇静效果、镇静后生命体征变化,以及患者术后机械通气时间和ICU留滞时间.结果 观察组患者术后在CICU内镇静效果明显高于对照组,差异具有统计学意义(P<0.05);两组患者术后镇静过程中生命体征变化均平稳,差异无统计学意义(P>0.05);观察组患者术后机械通气时间和ICU留滞时间均明显低于对照组,差异具有统计学意义(P<0.05).结论 在CICU内运用BIS联合RASS监测对心脏术后患者进行目标镇静性护理安全可行,能提高患者的镇静效果,减少患者术后机械通气时间及ICU留滞时间,确保医疗及护理工作的有效性,值得临床推广.%Objective To explore the effect of target sedation care by BIS combined with RASS monitoring in CICU.Methods A total of 64 patients who underwent cardiac surgery from June to December in 2016 were ran-domly divided into the control group and the observation group(n=32).The control group was treated with routine sedation under BIS monitoring. The observation group was treated with BIS combined with RASS to monitor the sed-ative effect,when the changes of vital signs and the postoperative mechanical ventilation time and ICU retention time were compared between the two groups.Results The sedative effect of the observation group was significantly better than that of the control group(P<0.05). There was no significant difference in the vital signs between the two groups(P>0.05). The time of mechanical ventilation and ICU stay in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of BIS combined with RASS in CICU to monitor the sedationof patients receiving cardiac surgery is safe and fea-sible.It can improve the patient's sedative effect,reduce the patient's postoperative mechanical ventilation time and ICU stay time,ensure the effectiveness of medical and nursing work,which is worthy of clinical promotion.
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