CAJ | 학술논문

目的探讨刷洗负压吸引法在经口气管插管患者口腔护理中的应用效果.方法选取ICU经口气管插管的患者82例,随机分为观察组42例和对照组40例,观察组采用刷洗负压吸引法进行口腔护理,对照组采用传统口腔护理方法.比较两组患者口腔感染发生率、呼吸机相关性肺炎(VAP)发生率、牙菌斑发生率和口腔黏膜损伤发生率.结果观察组口腔感染发生率、VAP的发生率和牙菌斑发生率分别为7.14％,2.38％,4.76％,均少于对照组的22.50％,15.00％,32.50％,差异均有统计学意义(x2分别为3.88,4.18,10.55；P＜0.05).两组口腔黏膜损伤发生率比较差异无统计学意义(P＞0.05).结论与传统口腔护理方法相比,刷洗负压吸引法能有效保持经口气管插管患者口腔清洁,降低口腔感染、VAP和牙菌斑的发生率.
목적 탐토쇄세부압흡인법재경구기관삽관환자구강호리중적응용효과.방법 선취ICU경구기관삽관적환자82례,수궤분위관찰조42례화대조조40례,관찰조채용쇄세부압흡인법진행구강호리,대조조채용전통구강호리방법.비교량조환자구강감염발생솔、호흡궤상관성폐염(VAP)발생솔、아균반발생솔화구강점막손상발생솔.결과 관찰조구강감염발생솔、VAP적발생솔화아균반발생솔분별위7.14％,2.38％,4.76％,균소우대조조적22.50％,15.00％,32.50％,차이균유통계학의의(x2분별위3.88,4.18,10.55；P＜0.05).량조구강점막손상발생솔비교차이무통계학의의(P＞0.05).결론 여전통구강호리방법상비,쇄세부압흡인법능유효보지경구기관삽관환자구강청길,강저구강감염、VAP화아균반적발생솔.
Objective To explore the effect of negative pressure attraction method of brushing and washing apply in oral care of patients with orotracheal intubation.Methods Totals of 82 oral intubation patients in ICU were randomly selected and divided into experience group ( n =42 ) and control group ( n =40 ).The traditional method of oral care was used in control group,while the negative pressure attraction method of brushing and washing was used in experience group,then,the incidence of oral infections,ventilator-associated pneumonia( VAP),dental plaque and oral mucosal injury were observed in two groups.Results The incidence of oral infections,ventilator-associated pneumonia(VAP),dental plaque in experience group respectively were 7.14％,2.38％,4.76％,and that in control group were 22.50％,15.00％,32.50％,the differences were statistically significant ( x2 =3.88,4.18,10.55,respectively; P ＜ 0.05 ),while there was no significant difference in the incidence of oral mucosal injury between two groups ( P ＞ 0.05 ).Conclusions The negative pressure attraction method of brushing and washing can effectively keep the oral clean of patients with orotracheal intubation,reduce the incidence of oral infections and ventilator-associated pneumonia and dental plaque,when compared with the traditional method of oral care.