Objective To compare the incidence of delirium induced by dexmetomidine combined with rifentanil and midazolam combined with fentanyl in ICU patients. Methods Select in June 2015 to October 2017 of 78 patients admitted in our department,according to the random number table method is divided into the right mi fixed joint,fentanyl group(YRF)and midazolam fentanyl group(MF),39 cases were given the right holder mi fixed joint,fentanyl and midazolam combined fentanyl sedation analgesia. The incidence of delirium in the two groups was compared. Results There was no significant difference in sedation score between the two groups(P>0.05). The NRS pain score of dexmedetomidine combined with remifentanil was significantly lower than that of midazolam combined with fentanyl. The incidence of restlessness,delirium and man-machine antagonism induced by dex combined with remifentanil was significantly lower than that of midazolam combined with fentanyl(P<0.05). Conclusion ICU delirium is a common clinical syndrome in ICU. The incidence of delirium is low when using dexmedetomidine combined with remifentanil for sedation and analgesia.
Journal Of International Psychlatry