中国现代药物应用
中國現代藥物應用
중국현대약물응용
CHINESE JOURNAL OF MODERN DRUG APPLICATION
2015年
9期
174-176
,共3页
复方氯己定含漱液%经口气管插管%口腔护理
複方氯己定含漱液%經口氣管插管%口腔護理
복방록기정함수액%경구기관삽관%구강호리
Compound chlorhexidine gargle%Orotracheal intubation%Oral nursing
目的：对复方氯己定含漱液用于经口气管插管患者口腔护理的效果进行分析探讨。方法120例经口气官插管患者,随机分为Ⅰ组、Ⅱ组、Ⅲ组,Ⅰ组40例患者采用复方氯己定含漱液进行口腔护理；Ⅱ组40例患者以生理盐水联合负压吸引牙刷进行口腔护理；Ⅲ组40例患者采用复方氯己定含漱液联合负压吸引牙刷进行口腔护理,对比三组患者的细菌检出率、口腔异味及呼吸机相关性肺炎(VAP)的发生率。结果Ⅲ组患者的口腔异味发生率为22.5%, VAP发生率为5.0%,Ⅰ组患者为47.5%,27.5%,Ⅱ组患者为50.0%,32.5%,Ⅲ组患者的口腔异味及VAP发生率显著低于Ⅰ组与Ⅱ组,且Ⅲ组患者的细菌检出率显著低于Ⅰ组与Ⅱ组患者,差异具有统计学意义(P<0.05)。结论对经口气管插管患者行复方氯己定含漱液联合负压吸引牙刷进行口腔护理能够减少口腔细菌定植,降低呼吸机相关性肺炎的发生率,值得临床推广应用。
目的：對複方氯己定含漱液用于經口氣管插管患者口腔護理的效果進行分析探討。方法120例經口氣官插管患者,隨機分為Ⅰ組、Ⅱ組、Ⅲ組,Ⅰ組40例患者採用複方氯己定含漱液進行口腔護理；Ⅱ組40例患者以生理鹽水聯閤負壓吸引牙刷進行口腔護理；Ⅲ組40例患者採用複方氯己定含漱液聯閤負壓吸引牙刷進行口腔護理,對比三組患者的細菌檢齣率、口腔異味及呼吸機相關性肺炎(VAP)的髮生率。結果Ⅲ組患者的口腔異味髮生率為22.5%, VAP髮生率為5.0%,Ⅰ組患者為47.5%,27.5%,Ⅱ組患者為50.0%,32.5%,Ⅲ組患者的口腔異味及VAP髮生率顯著低于Ⅰ組與Ⅱ組,且Ⅲ組患者的細菌檢齣率顯著低于Ⅰ組與Ⅱ組患者,差異具有統計學意義(P<0.05)。結論對經口氣管插管患者行複方氯己定含漱液聯閤負壓吸引牙刷進行口腔護理能夠減少口腔細菌定植,降低呼吸機相關性肺炎的髮生率,值得臨床推廣應用。
목적：대복방록기정함수액용우경구기관삽관환자구강호리적효과진행분석탐토。방법120례경구기관삽관환자,수궤분위Ⅰ조、Ⅱ조、Ⅲ조,Ⅰ조40례환자채용복방록기정함수액진행구강호리；Ⅱ조40례환자이생리염수연합부압흡인아쇄진행구강호리；Ⅲ조40례환자채용복방록기정함수액연합부압흡인아쇄진행구강호리,대비삼조환자적세균검출솔、구강이미급호흡궤상관성폐염(VAP)적발생솔。결과Ⅲ조환자적구강이미발생솔위22.5%, VAP발생솔위5.0%,Ⅰ조환자위47.5%,27.5%,Ⅱ조환자위50.0%,32.5%,Ⅲ조환자적구강이미급VAP발생솔현저저우Ⅰ조여Ⅱ조,차Ⅲ조환자적세균검출솔현저저우Ⅰ조여Ⅱ조환자,차이구유통계학의의(P<0.05)。결론대경구기관삽관환자행복방록기정함수액연합부압흡인아쇄진행구강호리능구감소구강세균정식,강저호흡궤상관성폐염적발생솔,치득림상추엄응용。
Objective To analyze and investigate the effect of compound chlorhexidine gargle in oral nursing for orotracheal intubation patients. Methods A total of 120 orotracheal intubation patients were randomly divided into group Ⅰ, group Ⅱ, and group Ⅲ. Group Ⅰ with 40 cases received oral nursing by compound chlorhexidine gargle, groupⅡreceived normal saline combined with vacuum aspiration toothbrush for oral nursing, and groupⅢwas given oral nursing by compound chlorhexidine gargle combined with vacuum aspiration toothbrush. Comparisons were made on bacteria detection rate, incidences of halitosis and ventilator-associated pneumonia (VAP) between the two groups. Results GroupⅢhad incidence of halitosis as 22.5%and incidence of VAP as 5.0%. Those in groupⅠwere 47.5%and 27.5%, and in groupⅡwere 50.0%and 32.5%. The incidences of halitosis and VAP were obviously lower in groupⅢthan in groupⅠand groupⅡ, and groupⅢhad remarkably lower bacteria detection rate than groupⅠand groupⅡ. The differences had statistical significance (P<0.05). Conclusion Combination of compound chlorhexidine gargle and vacuum aspiration toothbrush in oral nursing for orotracheal intubation patients can reduce oral bacterial colonization and incidence of ventilator-associated pneumonia. This method is worthy of clinical promotion and application.
