Mobina Imandust, Mohammad Amin Araghi, Ferdos Pelarak
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引用次数: 0
摘要
简介:可注射的对乙酰氨基酚(扑热息痛)是一种有效的止痛和退烧药物。重症监护病房(ICU)住院患者血流动力学状态的巨大变化一直被认为是其护理过程中最重要的挑战之一。本文综述了对乙酰氨基酚注射液对ICU住院患者血流动力学的影响。方法和材料:我们在本系统综述中检查了15篇符合纳入标准的文章。谷歌Scholar、SID、PubMed、Elsevier、Scopus、Web of Science和Science Direct数据库在2000年至2024年间使用关键词“after intensive care”、“risk factors”、“intensive care unit”、“cognitive problems”、“related synonym”进行了检索。检索在没有语言限制的情况下进行,排除了没有摘要或全文的文章和会议文章。两名研究人员首先通过审查标题和摘要来筛选文章,然后阅读符合条件的文章的全文,以确定它们是否被纳入研究。第三个人监督数据提取的过程。结果:回顾研究表明静脉注射对乙酰氨基酚后血液动力学发生改变,但其作用机制尚不清楚。在大多数研究中,注射后平均动脉压下降。涉及收缩压和舒张压的病例也有记录。一些研究侧重于实施低血压发作的治疗措施,如注射晶体溶液或血管收缩剂(血管加压素)。结论与讨论:对乙酰氨基酚注射后的血流动力学变化表明公众对其安全性的认识存在缺陷。在有血流动力学改变风险的患者中使用该药需要特别注意,治疗团队必须意识到风险和适当的治疗措施。然而,根据利益-危害原则调整药物可能适合某些患者。