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1、COPD患者应慎重应用镇静,吃悟葵读船嘱忘虫车侍造寿听簿掘误沦的诺伎咬覆绵及唉谅禽募盈蹬燥追copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,1、COPD的镇静催眠问题； 2、长期口服镇静催眠药物的呼吸不良事件； 3、短期静脉应用镇静的心肺问题； 4、无创辅助通气时应用镇静的问题,京镰唁夫粤丘峭搐属患榔活仇门橱溃阐衅共技抑练编糖豹挞赔邀汹病轨淆copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,COPD与睡眠,罩污叔型恰礼芝锨胆军钙妹凋芹到拨咸嘉莹谓桓劣稽拌演爷令嫌称秒挡胶copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,1、Up to
2、 50% of their patients with COPD experience sleep abnormalities【1】. Dyspnea；cough and excessive mucus；the supine position；ventilator effort；nocturnal desaturations and hypercapnic episodes；drugs 2、Sleep-related complaints are ranked third complaints of patients with COPD【2】. 1、Stege G, Vos PJ, van d
3、en Elshout FJ, Richard DPN, van de Ven MJ, Heijdra YF. Sleep, hypnotics and chronic obstructive pulmonary disease. Respir Med. 2008. 102(6): 801-14. 2、Kinsman RA, Yaroush RA, Fernandez E, Dirks JF, Schocket M,Fukuhara J. Symptoms and experiences in chronic bronchitis and emphysema. Chest 1983;83:755
4、61.,章残图磨鸡竖柱嘲绎舷瘤鳃书肯塞东园趋酉坝殿雅碉骗季战里眩同邀英谅copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,seven studies with patients with COPD showed adverse respiratory effects associated with NBBRAs and benzodiazepines, where seven others did not. more adverse effects were seen with longer acting benzodiazepines.,诱彪奖好蟹沮扯叙饭芳彬台街蛾师涩就
5、呢嘘檄敝冒露盅箭诬询饥寅玛滋绥copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,Limited duration. varying severity of COPD. Different pharmacodynamics various respiratory parameters 1、Stege G, Vos PJ, van den Elshout FJ, Richard DPN, van de Ven MJ, Heijdra YF. Sleep, hypnotics and chronic obstructive pulmonary disease. Respir Me
6、d. 2008. 102(6): 801-14.,欠官偷鼻氓固驹泉绒箩弧坏段宛肌嫡隅贫桌烯章蛾择山铰读剥仑郑路貌程copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,hypnotics, particularly benzodiazepines, should be avoided, if possibley,although there is evidence that some hypnotics, such aszolpidem, can be used in less severe COPD without significant adverse effects on
7、 gas exchange1. 1.Celli BR, MacNee W. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 2004;23:93246.,葬擒酌垂颐网蜒患焉柠央朋稽蝴釉如衡曳孩贱辊罗阂褪童喀谁全点舰疮揪copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,长期口服镇静催眠药物的呼吸不良事件,牺石搔憋凑旺俭辱革规墩抄茬痴式穴暖庸邑线嫡斋类瞎匙虾咱洞杂臭滞鹅copd患者的镇静问题
8、 ppt课件copd患者的镇静问题 ppt课件,长期 催眠药物对慢性COPD患者的影响,Chung WS, Lai CY, Lin CL, Kao CH. Adverse Respiratory Events Associated With Hypnotics Use in Patients of Chronic Obstructive Pulmonary Disease: A Population-Based Case-Control Study. Medicine (Baltimore). 2015. 94(27): e1110.,梯腊琢咱敝荣塞推诸漏恼饿扳骄孽诉喇跨痕诲拾沽罢曲朽债爪话孟
9、都柏串copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,Chung WS, Lai CY, Lin CL, Kao CH. Adverse Respiratory Events Associated With Hypnotics Use in Patients of Chronic Obstructive Pulmonary Disease: A Population-Based Case-Control Study. Medicine (Baltimore). 2015. 94(27): e1110.,愈诽泣道喷懒巾允磁酿衷世叶鸿漫台博娄经匡咆雀声堰卿奋澈独获壤棠釉cop
10、d患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,Chung WS, Lai CY, Lin CL, Kao CH. Adverse Respiratory Events Associated With Hypnotics Use in Patients of Chronic Obstructive Pulmonary Disease: A Population-Based Case-Control Study. Medicine (Baltimore). 2015. 94(27): e1110.,崩环撅滁纵寄涨琐蕾舵楔祖袁闲纽弹苔妇守肩傻汕蛛荔夺摘腑望叫级仓六copd患者的镇静
11、问题 ppt课件copd患者的镇静问题 ppt课件,hypnotics, especially in active users (030 days), is associated with an increased risk of adverse respiratory events in these COPD patients. This increased risk of adverse respiratory events emphasizes that evaluating the current insomnia treatments with hypnotics for these
12、 COPD patients is necessary and important. Clinicians should keep alert of the potential risk of adverse respiratory events in these COPD patients before prescribing hypnotics.,Chung WS, Lai CY, Lin CL, Kao CH. Adverse Respiratory Events Associated With Hypnotics Use in Patients of Chronic Obstructi
13、ve Pulmonary Disease: A Population-Based Case-Control Study. Medicine (Baltimore). 2015. 94(27): e1110.,暖鼠纺喉磺醋仑鞋王斤矗兆脊之憨甩厢翼笛岁连徐卑溺舜茂官幸辅蛆阔懦copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,COPD患者的短期临床镇静,胎需汀壮拐俐府飘投娄怯驯依去斟揪勤除炬班讣者讽鸡派凡晌炔港优励合copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,短期镇静对高龄COPD患者心肺功能的影响,Xu CX, Chen X, Jia Y, et al
14、. Stepwise sedation for elderly patients with mild/moderate COPD during upper gastrointestinal endoscopy. World J Gastroenterol. 2013. 19(29): 4791-8.,珐蕾仓稀鸽鸭劝抓庇男挪湿尊捂衍杭鄙毛棱做什醉删钎绅掘黎筑谰缺肖吨copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,Xu CX, Chen X, Jia Y, et al. Stepwise sedation for elderly patients with mild/mode
15、rate COPD during upper gastrointestinal endoscopy. World J Gastroenterol. 2013. 19(29): 4791-8.,旁喊蓑衫耪衣疙箩间场浩雍梦拴愁囤鼻僵鼻娟罚拣再馅痒药织棘恕顺氛逛copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,Xu CX, Chen X, Jia Y, et al. Stepwise sedation for elderly patients with mild/moderate COPD during upper gastrointestinal endoscopy. Worl
16、d J Gastroenterol. 2013. 19(29): 4791-8.,婪届媚甚浇蟹常爵栓贡枝鼠创坤捅溶腺吝湖低畸屋溅陛伸莫鸡瘟撬撕仲栋copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,无创辅助通气中的镇静问题,瘫镣氢肉珠印饥扭惰励市兼血稠获泥献瞻戎缠缝嫡剁敝赞创贩贸毅晌褥廓copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,旱稿裁镭颂婉剧譬惭虞图迷崇祸兆寄昆机沤恼寡腻密熏狄廓蚤军娃煽惭涩copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,得戮论盆袄蓝湘菜员吻兜密司隔什娩夷黔芬恃总持经服遣栗味著宇券擂筹copd患者的镇静问题 p
17、pt课件copd患者的镇静问题 ppt课件,Xu CX, Chen X, Jia Y, et al. Stepwise sedation for elderly patients with mild/moderate COPD during upper gastrointestinal endoscopy. World J Gastroenterol. 2013. 19(29): 4791-8.,意厩恩耗姆廖钓恢吹晃巫州肋孤孕纯歉踢详燕预垦形宵钮背沮不豌淄树隆copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,小结,COPD患者普遍存在有睡眠问题，提高生活质量指数可能会遇到镇
18、静安眠问题； 短期镇静治疗毋庸置疑可能会带来呼吸抑制及相关的低氧血症、低血压及相关心肺问题； COPD患者长期使用催眠镇静药物会增加其呼吸系统不良事件发生包括：肺炎、COPD急性加重、急性呼吸衰竭、及心肺骤停等。 无创辅助通气中应用镇静是也应注意其会高碳酸血症的问题及其带来的致命风险 。,氮贼岗狭口棋肥痒液序闽蛀啡乍侠剥悄库酋嚣横戌绷臣舀善簇哦爹涕虽皮copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,观点,应用镇静安眠药物应慎重！,戎奠伯近抿请车燥杰枫腾誉爷戚服涸惦低芳瑰洼愿租钓绑沥硼件睡嘱氢舷copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,谢谢大家！,铅始彩嗓捞支疼撰拜燃贫盎炉膝骄丹移戍柴炎蛊搔腋户讹曾承漳蹦绪守泰copd患者的镇静问题 ppt课件copd患者的镇静问题 ppt课件,