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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (04) : 286 -290. doi: 10.3877/cma.j.issn.2096-1537.2017.04.011

所属专题: 镇痛镇静 重症医学 文献

观点

镇静深浅与谵妄:有无因果?可否防治?
王春梅1, 黄华玮2, 周建新2,()   
  1. 1. 100050 首都医科大学附属北京天坛医院重症医学科;125001 辽宁省葫芦岛市中心医院重症医学科
    2. 100050 首都医科大学附属北京天坛医院重症医学科
  • 收稿日期:2017-05-19 出版日期:2017-11-28
  • 通信作者: 周建新

Causal relationship between sedation and delirium and how to prevent delirium in intensive care unit

Chunmei Wang1, Huawei Huang2, Jianxin Zhou2,()   

  1. 1. Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China; Department of Critical Care Medicine, Huludao Center Hospital, Liaoning 125001, China
    2. Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2017-05-19 Published:2017-11-28
  • Corresponding author: Jianxin Zhou
  • About author:
    Corresponding author: Zhou Jianxin, Email:
引用本文:

王春梅, 黄华玮, 周建新. 镇静深浅与谵妄:有无因果?可否防治?[J/OL]. 中华重症医学电子杂志, 2017, 03(04): 286-290.

Chunmei Wang, Huawei Huang, Jianxin Zhou. Causal relationship between sedation and delirium and how to prevent delirium in intensive care unit[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 286-290.

ICU谵妄是危重症诊疗中的常见并发症,是一种急性、波动性、非特异性脑功能障碍,主要表现为意识和认知程度的改变。ICU谵妄发生率高,常导致患者住院病死率增加,住院时间延长,医疗费用增加,不良转归增多。镇静作为ICU内常见治疗模式,是否会增加患者谵妄发生风险,镇静深浅与谵妄是否存在因果关系,对谵妄应如何进行防治,逐渐被临床所关注。本文将从镇静与谵妄的发生关系及谵妄的防治进展方面作一综述。

Delirium is an acute, non-specific cerebral impairment characterized by a change consciousness and cognition. The incidence of delirium is high in ICU, which is critically associated with increased mortality, duration of hospital stay and medical costs. As a widely used strategy in ICU, weather sedation increases the risk of delirium as well as the causative relationship between the sedative depth and delirium and prevention of delirium have drwan more and more attention in ICU. In this paper, we review the relationship between sedation and delirium, the prevention and treatment of delirium were also discussed in this review.

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