Application of pain and sedation care based on eCASH concept in neurosurgical critically ill patients
基于eCASH理念的镇痛镇静护理在神经外科重症病人中的应用

摘要

目的 探讨在神经外科重症病人中开展基于eCASH理念的镇痛镇静护理的效果。方法 将2024年4月-2025年4月间在我院神经外科就诊的60例重症患者按随机数字表法为2组，其中30例予常规镇痛镇静护理为对照组，另30例予eCASH理念下的镇痛镇静护理为观察组。观察2组镇痛、镇静效果、颅内压变化。结果 护理后，两组COPT评分较护理前降低，观察组低于对照组（P＜0.05）；两组PASS评分较护理前升高，观察组评分优于对照组（P＜0.05）；2组2 h、24 h颅内压对比无差异（P均＞0.05）；而观察组48 h、72 h颅内压低于对照组（P＜0.05）。结论 开展eCASH理念下的镇痛镇静护理，有助于减轻神经外科重症病人的疼痛及躁动，镇痛镇静效果显著。

Abstract

Objective To explore the effect of implementing pain and sedation care based on the eCASH concept in neurosurgical critically ill patients.
Methods From April 2024 to April 2025, 60 critically ill patients visiting the neurosurgery department of our hospital were divided into two groups by random number table method. Among them, 30 patients received conventional pain and sedation care as the control group, and the other 30 patients received pain and sedation care based on the eCASH concept as the observation group. The analgesic and sedative effects and changes in intracranial pressure of the two groups were observed.
Results After the nursing, the COPT scores of both groups were lower than those before the nursing, and the observation group was lower than the control group (P < 0.05); the PASS scores of both groups were higher than those before the nursing, and the score of the observation group was better than that of the control group (P < 0.05); there was no difference in 2 h and 24 h intracranial pressure between the two groups (P > 0.05); while the intracranial pressure of the observation group at 48 h and 72h was lower than that of the control group (P < 0.05).
Conclusion   Implementing pain and sedation care based on the eCASH concept can help alleviate the pain and restlessness of neurosurgical critically ill patients, and the pain and sedation effect is significant.