CAJ | 학술논문

目的探讨口腔灌洗法与传统口腔护理方法对气管切开昏迷患者口腔护理的临床效果.方法将600例伴有口腔并发症或肺部感染的气管切开昏迷患者随机分为观察组与对照组各300例,观察组采用纱布球擦拭加口腔灌洗法进行口腔护理,对照组采用传统口腔护理法进行口腔护理.对两组患者从口臭、牙龈红肿出血、口腔溃疡、肺部感染4方面进行效果比较.结果观察组患者的口臭、牙龈红肿出血、口腔溃疡的有效率及肺部感染好转率均优于对照组,差异具有统计学意义(P＜0 05).结论采用纱布球擦拭加口腔灌洗法对气管切开昏迷患者进行口腔清洁,临床效果优于传统口腔护理法,有一定的临床意义.
목적 탐토구강관세법여전통구강호리방법대기관절개혼미환자구강호리적림상효과.방법 장600례반유구강병발증혹폐부감염적기관절개혼미환자수궤분위관찰조여대조조각300례,관찰조채용사포구찰식가구강관세법진행구강호리,대조조채용전통구강호리법진행구강호리.대량조환자종구취、아간홍종출혈、구강궤양、폐부감염4방면진행효과비교.결과 관찰조환자적구취、아간홍종출혈、구강궤양적유효솔급폐부감염호전솔균우우대조조,차이구유통계학의의(P＜0 05).결론 채용사포구찰식가구강관세법대기관절개혼미환자진행구강청길,림상효과우우전통구강호리법,유일정적림상의의.
Objective To compare oral lavage and traditional oral nursing method in coma patients with tracheotomy regarding their clinical effects.Methods 600 coma patients with tracheotomy suffering from pulmonary infection and/or oral complications were randomly divided into control group ( n =300 ) and observation group (n =300).The observation group was administered with gauze balls and oral lavage; the control group was nursed with the traditional method.The clinical effects of both groups with respect to oral stench,swollen bleeding gums,oral ulcers,pulmonary infections were compared.Results The improvement rate of oral stench,swollen bleeding gums,oral ulcers and pulmonary infections in the observation group surpassed that in the control group (P ＜ 0.05).Conclusions Gauze balls and oral lavage in coma patients with tracheotomy is superior to the traditional method with respect with clinical effects,therefore it has clinical significance to some extent.