| 朱慧.刷牙冲洗法口腔护理在ICU患者经口气管插管中的效果研究[J].上海护理,2021,21(5): |
| 刷牙冲洗法口腔护理在ICU患者经口气管插管中的效果研究 |
| Study on the Effect of Oral Care by Brushing and Rinsing in ICU Patients with Endotracheal Intubation |
| DOI： |
| 中文关键词: 经口气管插管 刷牙冲洗法 呼吸机相关性肺炎 口腔护理 口腔异味 |
| 英文关键词: |
| 基金项目: |
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| 中文摘要: |
| 目的 探究刷牙冲洗法口腔护理在重症监护(ICU)患者经口气管插管中的效果。方法 选择2017年1月至2018年12月我院ICU监护治疗经口气管插管行机械通气的128例患者作为研究对象。采用随机数字表法将所选患者分为试验组和对照组,各64例。对照组给予传统口腔护理,试验组采用刷牙冲洗法对患者口腔进行护理。统计和比较患者呼吸机相关性肺炎(VAP)发生及口腔异味程率,此外统计患者口腔并发症的发生情况。结果 经刷牙冲洗法口腔护理后试验组VAP发生率明显低于对照组[12.5% vs 29.7%,P<0.05]；经刷牙冲洗法口腔护理后试验组口腔异味率明显低于对照组[20.3% vs 57.8%,P<0.05]；主要口腔并发症由口腔炎症、口腔溃疡及真菌感染,经刷牙冲洗法口腔护理后试验组并发症的发生率明显低于对照组[4.7% vs 17.2%,P<0.05]。结论 ICU患者经口气管插管后采用刷牙冲洗法口腔护理可有效清除细菌移位,降低VAP的发生及口腔异味,值得在临床推广使用。 |
| 英文摘要: |
| Objective To explore the effect of oral care by brushing and rinsing in ICU patients with endotracheal intubation. Method From January 2017 to December 2018, 128 cases of patients undergoing mechanical ventilation via endotracheal intubation in ICU of our hospital were selected as research objects. They were divided into experimental group and control group with 64 cases each by random number table method. The control group received traditional oral care, while the experimental group received oral care by brushing and rinsing. The incidence of ventilator-associated pneumonia (VAP) and the rate of oral malodor were compared. In addition, the incidence of oral complications was analyzed. Results The incidence of VAP in the experimental group was significantly lower than that in the control group after oral care by brushing and rinsing [12.5% vs 29.7%, P<0.05]; After oral care by brushing and rinsing, the rate of bad breath in the experimental group was significantly lower than that in the control group [20.3% vs 57.8%, P<0.05]; The main oral complications were oral inflammation, oral ulcer and fungal infection. The incidence of complications after oral care by brushing and rinsing was significantly lower in the experimental group than in the control group [4.7% vs 17.2%, P<0.05]. Conclusion Oral care of ICU patients with oral intubation by brushing and rinsing can effectively remove bacterial displacement, reduce the occurrence of VAP and bad breath, which is worthy of clinical application. |
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