白噪声干预对ICU患者镇静效果的影响

doi:10.3969/j.issn.1674-490X.2021.02.011

医学研究与教育 ›› 2021, Vol. 38 ›› Issue (2): 61-65.DOI: 10.3969/j.issn.1674-490X.2021.02.011

白噪声干预对ICU患者镇静效果的影响

常海哲,梁璐,张孟繁,祝亭亭,扈新妹

河北大学附属医院, 河北保定 071000

收稿日期:2020-12-30 出版日期:2021-04-25 发布日期:2021-04-25
通讯作者: 梁璐(1974—),男,河北保定人,教授,博士,硕士生导师,主要从事急诊医学、重症医学及智慧医疗方面研究。E-mail: lianglu1974@163.Com
作者简介:常海哲(1978—),女,河北保定人,主管护师,主要从事急危重症护理研究。 E-mail: changhaizhe163@163.com
基金资助:
国家科技基础资源调查专项(2017FY101200)

Received:2020-12-30 Online:2021-04-25 Published:2021-04-25

摘要/Abstract

摘要： 目的探讨白噪声干预对ICU重症患者镇静药物用量的影响。方法选取2019年1月1日至6月30日入住河北某三级甲等医院急诊重症监护病房(emergency intensive care unit,EICU)且接受镇静治疗的96例患者,按随机数字表法分为实验组、对照组,各48例。观察期间,实验组于每日22:00—06:00给予50~60分贝的白噪声干预;对照组患者给予正常环境音。结果实验组患者的右美托咪定维持剂量为(0.34±0.07)μg/(kg·h),对照组其维持剂量为(0.40±0.10)μg/(kg·h),两组比较差异有统计学意义(P<0.05)。结论白噪声干预对镇静药物的用量有影响,可以加强镇静药物的镇静效果,从而减少镇静药物用量。

关键词: 镇静剂, 白噪声, 重症监护病房

Abstract: Objective To investigate the effect of white noise intervention on the dosage of sedative drugs in ICU patients. Methods A total of 96 patients admitted to the Emergency Intensive Care Unit(EICU)of a level-III first-class hospital in Hebei province from January 1, 2019 to June 30, 2019 were randomly divided into a test group and a control group, 48 patients in each group. During the observation period, the observation group was given 50-60 decibels of white noise for intervention at 22:00-06:00 daily. Patients in the control group were exposed to normal ambient sounds. Results The maintenance dose of dexmedetomidine was(0.34±0.07)μg/(kg·h)in the observation group and(0.40±0.10)μg/(kg·h)in the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion White noise intervention can enhance the sedative effect of sedative drugs and reduce the dosage of sedative drugs.

Key words: sedative, white noise, intensive care unit

中图分类号:

R473

常海哲, 梁璐, 张孟繁, 祝亭亭, 扈新妹. 白噪声干预对ICU患者镇静效果的影响[J]. 医学研究与教育, 2021, 38(2): 61-65.

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白噪声干预对ICU患者镇静效果的影响

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