頁籤選單縮合
題名 | 止痛鎮靜劑對外科重症病患影響=Effect of Analgesia and Sedation on the Critically Ill Surgical Patients |
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作者 | 唐高駿; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 3:1 2001.01[民90.01] |
頁次 | 頁29-34 |
分類號 | 418.2131 |
關鍵詞 | 止痛鎮靜; 重症病患; 外科手術; 壓力反應; Analgesia; Sedation; Critically ill; Surgery; Stress response; |
語文 | 中文(Chinese) |
中文摘要 | 外科手術導致組織傷害同時誘發神經和荷爾蒙反應,結果導致造成壓力反應和疼痛,雖然適當的壓力反應有助於病患從外科手術創傷中復原,但過度的壓力反應和疼痛卻對身體有害,特別是生理貯備不足的病患。一些研究已証實硬脊膜外麻醉和從靜脈內給予高劑量的頻鴉片製制可以減輕手術後壓力反應。對外科重症病患而言,鎮靜劑的使用可減少因手術或侵入性處置所導致的疼痛並促進睡眠。 |
英文摘要 | Surgical procedure induced tissue trauma and elicits a series of neural and hormonal response that result in stress response and pain. Although appropriate stress response and pain benefit the host and accelerate the recovery from surgical trauma, expressive response and pain may be detrimental especially in poor reserved patients. Some studies demonstrated that epidural anesthesia and intravenous high dose opiate attenuate surgical stress response. Sedation reduces the anxiety induced by pain, invasive procedure and facilitates sleep in the critically ill surgical patients. |
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