CAJ | 학술논문

目的寻找普遍适用于经口气管插管患者的口腔护理方法,预防或减少感染的发生.方法将60例经口气管插管患者随机分为试验组30例和对照组30例,试验组采用改良式口腔护理方法,使用Oral-B牙刷、口镜、吸唾管、棉棒进行口腔护理;对照组采用传统的口腔护理方法.观察两组患者口腔护理后牙菌斑、口腔细菌株数有无差异.结果两组患者口腔护理后牙菌斑指数、口咽菌减少和转阴株数比较差异均有统计学意义(P＜0.05).结论改良式口腔护理方法能有效去除牙菌斑,减少细菌数量,预防感染的发生.
목적 심조보편괄용우경구기관삽관환자적구강호리방법,예방혹감소감염적발생.방법 장60례경구기관삽관환자수궤분위시험조30례화대조조30례,시험조채용개량식구강호리방법,사용Oral-B아쇄、구경、흡타관、면봉진행구강호리;대조조채용전통적구강호리방법.관찰량조환자구강호리후아균반、구강세균주수유무차이.결과 량조환자구강호리후아균반지수、구인균감소화전음주수비교차이균유통계학의의(P＜0.05).결론 개량식구강호리방법능유효거제아균반,감소세균수량,예방감염적발생.
Objective To find a effective and generally applicable oral-nursing method to prevent microorganism infection for patient with oral endotracheal tube. Methods 60 patients with oral endotracheal tube were randomly divided into two groups . Intervention group (n=30) was performed with the modified oral care method :Oral-B toothbrush instead of cotton balls, mouth mirror instead of a tongue depressor , aspirator tube instead of suction tube and swab instead of washing method . Control group (n = 30) was performed with traditional oral care. The dental plaque clearance and the number of oral bacteria and bacteria in sputum were analyzed in the two groups. Results The number of dental plaque and the number of oral bacteria after oralnursing in intervention group were significantly lower than those in control group with traditional oral care (P＜0. 05, P ＜ 0. 05) . Conclusions Modified oral care method is effective in removing the dental plaque, reducing the number of bacteria and preventing infection.