Clinical application of standardized sedation and analgesia nursing in EICU patients with multiple trauma
镇静镇痛规范化护理在EICU多发伤患者中的临床应用研究

摘要

目的 探讨镇静镇痛规范化护理在急诊重症监护室（EICU）多发伤患者中的临床应用效果。方法 选取2024年7月至2026年3月本院EICU收治的33例多发伤患者。运用随机数字表法进行分配，观察组（17例）和对照组（16例）。对照组给予常规镇静镇痛护理，观察组实施镇静镇痛规范化护理。比较两组患者的镇静镇痛药物用量、机械通气时间及EICU住院时间，以及不良反应发生率。结果 观察组患者咪达唑仑用量、舒芬太尼用量比对照组更低（P＜0.05）；观察组机械通气时间、EICU住院时间均比对照组更短；观察组不良反应发生率比对照组更低（P＜0.05）。结论 镇静镇痛规范化护理可有效减少EICU多发伤患者的镇静镇痛药物用量，缩短机械通气时间和EICU住院时间，降低不良反应发生率，该护理干预方案既安全又有效。

Abstract

Objective To investigate the clinical effect of standardized sedation and analgesia nursing in patients with multiple trauma in the Emergency Intensive Care Unit (EICU).
Methods A total of 33 patients with multiple trauma admitted to the EICU of our hospital from July 2024 to March 2026 were selected. They were assigned using a random number table method into an observation group (17 cases) and a control group (16 cases). The control group received routine sedation and analgesia nursing, while the observation group received standardized sedation and analgesia nursing. The dosage of sedative and analgesic drugs, duration of mechanical ventilation, length of EICU stay, and incidence of adverse reactions were compared between the two groups.
Results The dosages of midazolam and sufentanil in the observation group were lower than those in the control group (P<0.05). The duration of mechanical ventilation and length of EICU stay in the observation group were shorter than those in the control group. The incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05).
Conclusion   Standardized sedation and analgesia nursing can effectively reduce the dosage of sedative and analgesic drugs, shorten the duration of mechanical ventilation and length of EICU stay, and lower the incidence of adverse reactions in patients with multiple trauma in the EICU. This nursing intervention is both safe and effective.