摘要目的? 探讨Ramsay镇静评分在儿童连续性肾脏替代治疗(CRRT)过程中的应用效果.方法? 采用回顾性非随机抽样法,将2016年1月—2017年5月安徽省儿童医院行CRRT治疗患儿30例设为对照组,按儿童CRRT标准操作规程对患儿实施护理;将2017年6月—2018年9月CRRT治疗患儿30例设为观察组,应用Ramsay镇静评分,根据结果遵医嘱调整镇静给药方案,躁动早期即给予干预护理.比较两组患儿治疗过程中机器报警、并发症及不良事件发生情况.结果? 应用Ramsay镇静评分护理干预后,观察组机器报警(1次),引血不畅(1次)、导管穿刺点渗血(4例)等并发症及非计划意外终止治疗不良事件(1次),均低于对照组,两组比较差异均有统计学意义(P＜0.05).结论? Ramsay镇静评分操作简单实用,便于儿科血液净化专科护士评估,并可以有效降低CRRT机器报警、并发症及不良事件发生率.

abstractsObjective? To investigate the effects of Ramsay sedation score on the nursing intervention for children undergoing continuous renal replacement therapy(CRRT). Methods? By retrospective non-random sampling, a total of 30 children treated with CRRT in Anhui Children＇s Hospital from January 2016 to May 2017 were assigned into the control group and nursed according to the standard operating procedures of CRRT for children. Another 30 children treated with CRRT from June 2017 to September 2018 were put into the observation group and the Ramsay sedation score was applied to adjust the sedation administration plan according to the results and doctors＇ prescriptions, and nursing intervention was given at the early stage of agitation. Machine alarm, complications and adverse events were compared between the two groups. Results? After nursing intervention with Ramsay sedation score, the incidence of complications including machine alarm (1 time), failed bloodletting (1 time), bleeding at catheter puncture point (4 cases) and unplanned accidental termination of treatment (1 time) in the observation group were lower than those in the control group with statistical significance (P＜0.05). Conclusions? Ramsay sedation score is simple and practical to apply and it is convenient for pediatric blood purification specialized nurses to evaluate its function. It can effectively reduce incidences of CRRT machine alarm, complications and adverse events.