CAJ | 학술논문

　　目的探讨抽吸式刷牙法在吞咽障碍患者口腔护理中的应用效果。方法选取本院神经内科、康复科的60例吞咽功能障碍患者，随机将患者分为实验组和对照组，每组各30例。实验组患者采用抽吸式牙刷刷牙法进行口腔护理，对照组患者采用生理盐水棉球擦洗法进行口腔护理。口腔护理期间观察两组患者口腔清洁度，口腔护理操作时间，口腔异味、口腔炎或口腔溃疡、黏膜损伤，口腔致病菌检测情况。结果实验组患者口腔护理所用时间明显短于对照组（P＜0.001）；实验组患者口腔清洁度评分明显高于对照组（P＜0.001）；实验组患者口腔异味、口腔炎或口腔溃疡、黏膜损伤发生率明显低于对照组（均P＜0.05）；两组患者口腔致病菌阳性率第5d比较，差异具有统计学意义，实验组明显低于对照组（P＜0.05）。结论对吞咽功能障碍患者采用抽吸式牙刷刷牙法进行口腔护理，能彻底清洁口腔，减少口腔并发症，提高患者舒适度，值得临床推广应用。
　　목적탐토추흡식쇄아법재탄인장애환자구강호리중적응용효과。방법선취본원신경내과、강복과적60례탄인공능장애환자，수궤장환자분위실험조화대조조，매조각30례。실험조환자채용추흡식아쇄쇄아법진행구강호리，대조조환자채용생리염수면구찰세법진행구강호리。구강호리기간관찰량조환자구강청길도，구강호리조작시간，구강이미、구강염혹구강궤양、점막손상，구강치병균검측정황。결과실험조환자구강호리소용시간명현단우대조조（P＜0.001）；실험조환자구강청길도평분명현고우대조조（P＜0.001）；실험조환자구강이미、구강염혹구강궤양、점막손상발생솔명현저우대조조（균P＜0.05）；량조환자구강치병균양성솔제5d비교，차이구유통계학의의，실험조명현저우대조조（P＜0.05）。결론대탄인공능장애환자채용추흡식아쇄쇄아법진행구강호리，능철저청길구강，감소구강병발증，제고환자서괄도，치득림상추엄응용。
Objective To explore the effect of suction toothbrushing in oral care of patients with dysphagia.Methods sixty patients with dysphagia from the neurology department and rehabilitation department in our hospital were equally divided into the experiment group and the control group randomly: the former used suction toothbrushing for oral care and the latter physiological saline for oral care.The two groups were compared in respect of bad breath,oral cleanliness,time for conducting oral care,stomatitis, oral ulcer and pathogenic bacteria in oral cavity.Results The time for conducting oral care in the experiment group was significantly shorter than that in the control group(P<0.001).The score on oral cleanliness of the experiment group was significantly higher than that in control group(P<0.001).The bad breath,stomatitis or oral ulcer,and mucosa damage in the experiments group were all lower than those in the control group.The number of oral bacteria on the 5th day in the experiment group was smaller than that in the control group(P<0.005).Conclusion For the patients with dysphagia,the suction toothbrushing may be effective for cleaning the mouth,reducing oral complications and improving the satisfaction degree.