关键词:
artificial
Catecholamines
Hemodynamics
Respiration
Respiratory insufficiency
Sedation
人工
儿茶酚胺类
呼吸
呼吸功能不全
血流动力学
镇静
Language of Keywords: English
Chinese
摘要:
Objective To observe the effect of two kinds of sedative method on the plasma catecholamine level and hemodynamics in respiratory failure patients with mechanic ventilation. Methods 54 respiratory failure patients needing tracheal intubation and mechanical ventilation in our hospital from January to December 2014 were selected and randomly divided into the control group(C), propofol+ fentanyl group (group P+F) and midazolam+fentanyl group (group M+F), 18 cases in each group. The plasma catecholamine content was detected before tracheal intubation, at 30 min, 3 h after tracheal intubation, meanwhile HR and BP at the corresponding time points were measured. Results Compared with pre-tracheal intubation, plasma catecholamine concentrations, HR and BP at 30 min after tracheal intubation in the group C were significantly increased compared with before tracheal intubation (P<0.05); plasma catecholamine concentrations, HR and BP at 30 min, 3 h after tracheal intubation in the group P+F and M+F were significantly decreased compared with before tracheal intubation, the differences were statistically significant (P<0.05). Furthermore, plasma catecholamine concentrations, HR and BP at 30 min after tracheal intubation in the group P+F and M+F were significantly decreased compared with the group C, the differences were statistically significant(P<0.05); however, there were no statistically significant differences in plasma catecholamine concentrations and HR at 30 min, 3 h after tra cheal intubation between the group P+F and M+F (P>0.05), but BP was significantly decreased with statistical difference (P<0.05). Conclusion Tracheal intubation and mechanical ventilation can enhance the level of plasma catecholamine, the sedation therapy can effectively reduce the blood catecholamine concentration in the patients with tracheal intubation and mechanical ventilation. Propofol+fentanyl and midazolam+fentanyl sedation can effectively alleviate the stress response of patients, but the se