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中华危重症医学杂志(电子版) ›› 2024, Vol. 17 ›› Issue (01) : 68 -72. doi: 10.3877/cma.j.issn.1674-6880.2024.01.012

综述

医源性戒断综合征预防与管理的研究进展
唐佳迎1, 郭芝廷1, 李瑶2, 邱哲灿1, 任思琪1, 黄晓霞1,()   
  1. 1. 310009 杭州,浙江大学医学院附属第二医院护理部
    2. 310015 杭州,浙江树人学院树兰国际医学院护理教研室
  • 收稿日期:2023-08-19 出版日期:2024-02-29
  • 通信作者: 黄晓霞
  • Received:2023-08-19 Published:2024-02-29
引用本文:

唐佳迎, 郭芝廷, 李瑶, 邱哲灿, 任思琪, 黄晓霞. 医源性戒断综合征预防与管理的研究进展[J]. 中华危重症医学杂志(电子版), 2024, 17(01): 68-72.

医源性戒断综合征(iatrogenic withdrawal syndrome,IWS)指的是患者因疾病治疗需要大量服用或静脉注射镇静镇痛药物、麻醉药物,引起生理或心理的依赖性,在突然停药或减量后产生一系列中枢神经、呼吸及消化系统异常体征[1-2]。戒断反应的症状主要分为3个方面,分别是中枢神经过度刺激、胃肠道功能障碍以及自主神经失调[1]。IWS的发生将给患者带来一系列负面影响,导致机械通气及住院时间延长、治疗费用增加,进而引起不良预后的发生,造成如癫痫发作及心肌缺血等症状出现[2-3]

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