CAJ | 학술논문

目的：了解两种口腔护理方法对口咽部及呼吸机管道细菌定植的影响，寻求更适合的口腔护理方法。方法选取2011年4月～2013年8月住IC U经口气管插管行机械通气的60例患者，随机分为观察组（刷牙组）30例，对照组（棉球擦拭法）30例，观察两组机械通气后72 h和168 h患者的口咽部、呼吸机管道的送气端细菌定植情况。结果两种口腔护理方法对口咽部及呼吸机管道细菌定植的影响差异均有显著意义（ P＜0．05、P＜0．01）。结论刷牙能减少口咽部及呼吸机管道的细菌定植，减少呼吸机相关性肺炎的发生率，增加清醒病人的舒适感，更好地清除牙缝的残留等。在临床中机械通气的病人仍然提倡刷牙。
목적：료해량충구강호리방법대구인부급호흡궤관도세균정식적영향，심구경괄합적구강호리방법。방법선취2011년4월～2013년8월주IC U경구기관삽관행궤계통기적60례환자，수궤분위관찰조（쇄아조）30례，대조조（면구찰식법）30례，관찰량조궤계통기후72 h화168 h환자적구인부、호흡궤관도적송기단세균정식정황。결과량충구강호리방법대구인부급호흡궤관도세균정식적영향차이균유현저의의（ P＜0．05、P＜0．01）。결론쇄아능감소구인부급호흡궤관도적세균정식，감소호흡궤상관성폐염적발생솔，증가청성병인적서괄감，경호지청제아봉적잔류등。재림상중궤계통기적병인잉연제창쇄아。
Objective To seek a more suitable method of oral care by accessing the role of the oral care method in the bacterial colonization of oropharyngeal and ventilator pipe .Method 60 patients hospitalized in ICU from April 2011 to August 2013 were divided into experimental group(Brushing)and control group(cotton wiping) .The bacte-rial colonization in oropharyngeal and the air outlet of ventilator was measured and compared .Result The bacterial colonization of oropharyngeal and ventilator pipe were significantly associated with the method of oral care ( P<0 .05 ,P<0 .01).Conclusion Brushing reduces the bacterial colonization of oropharyngeal and ventilator pipe and the incidence of VAP.