CAJ | 학술논문

目的：探讨经口气管插管患者实施电动牙刷刷洗法进行口腔护理的临床应用效果。方法将100例经口气管插管患者按照随机数字表法分为试验组和对照组,各50例。试验组采用电动牙刷蘸取0.05%醋酸氯己定溶液进行口腔刷洗,对照组患者采用0.9%氯化钠溶液湿棉球擦洗法。结果试验组患者的口腔清洁度Ⅰ度为80%,高于对照组的24%；Ⅱ度、Ⅲ度分别为16%,4%,低于对照组的46%,30%,差异有统计学意义(χ2值分别为26.606,10.519,11.977；P <0.01)。试验组患者口腔护理后第3天细菌培养阳性率28%,低于对照组的56%,差异有统计学意义(χ2=8.046；P<0.01)。试验组的口腔护理操作时间为(9.78±1.16)min/次,明显高于对照组的(8.91±0.96)min/次,差异有统计学意义(t=4.121,P<0.01)。两组患者不良事件的发生情况比较,差异无统计学意义(P>0.05)。结论对经口气管插管患者采用电动牙刷蘸取0.05%醋酸氯己定溶液进行口腔刷洗方法的效果优于棉球擦洗法。
목적：탐토경구기관삽관환자실시전동아쇄쇄세법진행구강호리적림상응용효과。방법장100례경구기관삽관환자안조수궤수자표법분위시험조화대조조,각50례。시험조채용전동아쇄잠취0.05%작산록기정용액진행구강쇄세,대조조환자채용0.9%록화납용액습면구찰세법。결과시험조환자적구강청길도Ⅰ도위80%,고우대조조적24%；Ⅱ도、Ⅲ도분별위16%,4%,저우대조조적46%,30%,차이유통계학의의(χ2치분별위26.606,10.519,11.977；P <0.01)。시험조환자구강호리후제3천세균배양양성솔28%,저우대조조적56%,차이유통계학의의(χ2=8.046；P<0.01)。시험조적구강호리조작시간위(9.78±1.16)min/차,명현고우대조조적(8.91±0.96)min/차,차이유통계학의의(t=4.121,P<0.01)。량조환자불량사건적발생정황비교,차이무통계학의의(P>0.05)。결론대경구기관삽관환자채용전동아쇄잠취0.05%작산록기정용액진행구강쇄세방법적효과우우면구찰세법。
Objective To study the clinical effect of electric toothbrush on oral care among patients with orotreacheal intubation. Methods A total of 100 cases of orotracheal intubation were randomly divided into two groups, 50 cases in observation group and 50 cases in control group. The patients of observation group used electric toothbrush with chlorhexidine for oral care, and the patients of control group received the traditional oral care method. Results The oral cavity cleanness (80% ofⅠdegree) in the observation group were significantly better than 24% Ⅰdegree cleanness patients of the control group, while the Ⅱ and Ⅲ degree were 16% and 4% of the observation group were lower than 46% and 30% of the control group (χ2 =26. 606, 10. 519, 11. 977;P<0. 01). The 3rd day of bacteria culture obtained 28% of negative rate lower than that of 56% in the control group (χ2 =8. 046;P<0. 01). The patients of observation group utilized (9. 78 ± 1. 16) min/time compared with (8. 91 ± 0. 96) min/time (t=4. 121,P<0. 01). There was no statistical significance on the difference of adverse event rate between two groups (P>0. 05). Conclusions The clinical effect of oral care using electric toothbrush with chlorhexidine compared with patients with orotracheal intubation, the former one is better than the traditional oral care method.