关键词: 目标性镇静, 重症肺炎, 支气管肺泡灌洗, 患儿, 护理

Abstract: Objective To explore the application effects of targeted sedation nursing for children with severe pneumonia in bedside bronchoscopy lung lavage, Methods From January to September 2016,in pediatric intensive care unit in a tertiary hospital in Shenyang,40 cases of children who underwent bedside alveolar lavage for severe pneumonia and received routine sedation nursing were selected as the control group. From January to September 2017 in the same hospital, 40 cases of children who received bedside alveolar lavage and targeted sedation nursing for severe pneumonia were selected as the observation group. Focused on the specific conditions of children with severe pneumonia, according to Ramsay sedation score, the individualized sedation target of each stage of bedside bronchoscopy lung lavage was identified! preoperative time of bedside bronchoscopy lung lavage(T?),the time of fiber bronchoscope into the glottis (T?), the first time of sputum suction lavage (T?), and postoperative time of alveolar lavage (T?), and the target Ramsay sedation score values were 4,5,5, and 4 points, respectively. By comparing the Ramsay sedation scores before （T?) and during (T??T?) percutaneous alveolar lavage between two groups，the children’s vital signs and the occurrence of intraoperative adverse reactions were recorded. Results There were no statistically significant differences in Ramsay sedative scores and vital signs between two groups at the time of T? (P＞0.05). The differences in Ramsay sedative scores and vital signs between two groups at T??T? were statistically significant (P< 0.05). The incidence of intraoperative adverse reactions was significantly low in the observation group (P<0.05). Conclusion Through targeted sedation nursing,the dynamic evaluation of sedative effects was achieved,the intraoperative vital signs in children maintained stable,and the occurrence of adverse reactions due to lack of sedation were preventatively reduced.

Key words: Targeted Sedation, Severe Pneumonia, Bronchoalveolar Lavage, Child Patient, Nursing Care