中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2009年
18期
1-2
,共2页
经口机械通气%患者%口腔护理频次%0.5％聚维酮碘
經口機械通氣%患者%口腔護理頻次%0.5％聚維酮碘
경구궤계통기%환자%구강호리빈차%0.5％취유동전
Orally mechanical ventilation%Patient%Frequency of oral care%0.5％ povidone iodine
目的 探讨最佳的经口机械通气患者口腔护理频次,达到以最少的口腔护理频次保证经口机械通气患者的口腔清洁、预防VAP的发生的效果.方法 将36例接受经口气管插管机械通气的患者随机分为A、B、C、D 4组各9例,4组均采用0.5%聚维酮碘进行口腔护理,4组进行口腔护理的时间间隔分别为4,6,8,12 h.分别于本次口腔护理后和下一次口腔护理前行口咽部取样进行细菌菌落半定量计数、细菌菌种鉴定.对4组的机械通气性肺炎的发生率进行比较,采用χ2检验.结果 4组细菌数量变化比较差异显著,差异突出表现在间隔6 h和12 h这2个时段.4组的机械通气性肺炎的发生率比较差异不明显.结论 在预防机械性通气性肺炎发生的前提下间隔6 h进行1次口腔护理是最佳频次.
目的 探討最佳的經口機械通氣患者口腔護理頻次,達到以最少的口腔護理頻次保證經口機械通氣患者的口腔清潔、預防VAP的髮生的效果.方法 將36例接受經口氣管插管機械通氣的患者隨機分為A、B、C、D 4組各9例,4組均採用0.5%聚維酮碘進行口腔護理,4組進行口腔護理的時間間隔分彆為4,6,8,12 h.分彆于本次口腔護理後和下一次口腔護理前行口嚥部取樣進行細菌菌落半定量計數、細菌菌種鑒定.對4組的機械通氣性肺炎的髮生率進行比較,採用χ2檢驗.結果 4組細菌數量變化比較差異顯著,差異突齣錶現在間隔6 h和12 h這2箇時段.4組的機械通氣性肺炎的髮生率比較差異不明顯.結論 在預防機械性通氣性肺炎髮生的前提下間隔6 h進行1次口腔護理是最佳頻次.
목적 탐토최가적경구궤계통기환자구강호리빈차,체도이최소적구강호리빈차보증경구궤계통기환자적구강청길、예방VAP적발생적효과.방법 장36례접수경구기관삽관궤계통기적환자수궤분위A、B、C、D 4조각9례,4조균채용0.5%취유동전진행구강호리,4조진행구강호리적시간간격분별위4,6,8,12 h.분별우본차구강호리후화하일차구강호리전행구인부취양진행세균균락반정량계수、세균균충감정.대4조적궤계통기성폐염적발생솔진행비교,채용χ2검험.결과 4조세균수량변화비교차이현저,차이돌출표현재간격6 h화12 h저2개시단.4조적궤계통기성폐염적발생솔비교차이불명현.결론 재예방궤계성통기성폐염발생적전제하간격6 h진행1차구강호리시최가빈차.
Objective To discuss oral nursing frequency of patients undergoing orally mechanical ventilation in order to ensure the oral cleanness of patients with the least oral nursing frequency and prevent the occurrence of ventilator associated pneumonia (VAP). Methods 36 patients undergoing orally me-chanical ventilation were randomly divided into groupA, B, C and D with 9 cases in each group, which all adopted 0.5% of pevidone iodine solution for oral nursing, time intervals of oral nursing were 4 hours, 6 hours, 8 hours and 12 hours. After the oral care and oral care before the next oropharyngeal samples for se-mi-quantitative bacterial colony counts, bacterial strain identification were obtained. The incidence rate of VAP was also compared and the results underwent χ2 test. Results Significant difference was seen in bacterial colony counts, especially during the time interval of 6 hours and 12 hours. No significant differ-ence was seen in incidence of VAP between the 4 groups. Conclusions The desirable frequency of oral nursing was every 6 hours on the premise of prevention of VAP.
