中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
15期
1805-1807
,共3页
张玉玲%李敬风%蒋丽%蒋勇
張玉玲%李敬風%蔣麗%蔣勇
장옥령%리경풍%장려%장용
乳,人%婴儿,新生%肺炎,呼吸机相关性%口腔护理
乳,人%嬰兒,新生%肺炎,呼吸機相關性%口腔護理
유,인%영인,신생%폐염,호흡궤상관성%구강호리
Milk,human%Infant,newborn%Pneumonia,ventilator-associated%Oral care
目的：探讨使用母乳(初乳、过渡乳、成熟乳)进行口腔护理对新生儿呼吸机相关性肺炎( VAP)的预防效果。方法湖北医药学院附属太和医院从2012年1月起将使用母乳口腔护理纳入新生儿重症监护病房(NICU)预防VAP集束化管理。将2010年1月—2011年12月使用0.9%氯化钠溶液进行口腔护理的34例患儿作为对照组,将2012年1月—2013年12月使用母乳进行口腔护理的38例患儿作为观察组。比较两组气管插管后口咽和气管分泌物培养的结果和VAP发生情况的差异。结果观察组早发性VAP的发生率、机械通气时间、住院天数分别为10.53%,(92.76±14.15)h,(14.95±2.25)d,低于对照组的32.35%,(103.62±23.07)h,(17.94±2.53)d,差异有统计学意义(t/χ2值分别为5.183,2.373,5.307；P<0.05)。使用母乳口腔护理后,观察组患儿的口咽致病微生物和气管内致病微生物的检出率分别为10.53%,7.89%,均低于对照组的32.35%,26.47%,差异有统计学意义(χ2值分别为5.18,4．46；P<0.05)。结论使用母乳进行口腔护理可以有效预防新生儿VAP,减少患儿的机械通气和住院时间。
目的：探討使用母乳(初乳、過渡乳、成熟乳)進行口腔護理對新生兒呼吸機相關性肺炎( VAP)的預防效果。方法湖北醫藥學院附屬太和醫院從2012年1月起將使用母乳口腔護理納入新生兒重癥鑑護病房(NICU)預防VAP集束化管理。將2010年1月—2011年12月使用0.9%氯化鈉溶液進行口腔護理的34例患兒作為對照組,將2012年1月—2013年12月使用母乳進行口腔護理的38例患兒作為觀察組。比較兩組氣管插管後口嚥和氣管分泌物培養的結果和VAP髮生情況的差異。結果觀察組早髮性VAP的髮生率、機械通氣時間、住院天數分彆為10.53%,(92.76±14.15)h,(14.95±2.25)d,低于對照組的32.35%,(103.62±23.07)h,(17.94±2.53)d,差異有統計學意義(t/χ2值分彆為5.183,2.373,5.307；P<0.05)。使用母乳口腔護理後,觀察組患兒的口嚥緻病微生物和氣管內緻病微生物的檢齣率分彆為10.53%,7.89%,均低于對照組的32.35%,26.47%,差異有統計學意義(χ2值分彆為5.18,4．46；P<0.05)。結論使用母乳進行口腔護理可以有效預防新生兒VAP,減少患兒的機械通氣和住院時間。
목적：탐토사용모유(초유、과도유、성숙유)진행구강호리대신생인호흡궤상관성폐염( VAP)적예방효과。방법호북의약학원부속태화의원종2012년1월기장사용모유구강호리납입신생인중증감호병방(NICU)예방VAP집속화관리。장2010년1월—2011년12월사용0.9%록화납용액진행구강호리적34례환인작위대조조,장2012년1월—2013년12월사용모유진행구강호리적38례환인작위관찰조。비교량조기관삽관후구인화기관분비물배양적결과화VAP발생정황적차이。결과관찰조조발성VAP적발생솔、궤계통기시간、주원천수분별위10.53%,(92.76±14.15)h,(14.95±2.25)d,저우대조조적32.35%,(103.62±23.07)h,(17.94±2.53)d,차이유통계학의의(t/χ2치분별위5.183,2.373,5.307；P<0.05)。사용모유구강호리후,관찰조환인적구인치병미생물화기관내치병미생물적검출솔분별위10.53%,7.89%,균저우대조조적32.35%,26.47%,차이유통계학의의(χ2치분별위5.18,4．46；P<0.05)。결론사용모유진행구강호리가이유효예방신생인VAP,감소환인적궤계통기화주원시간。
Objective To explore the application of breast milk ( colostrum, transitional milk, and mature milk) oral care on the prevention of ventilator-associated pneumonia (VAP) in neonatus. Methods Oral care with breast milk was implemented as part of the VAP-prevention bundle nursing in the neonatal intensive care unit ( NICU) from the January of 2012 in Taihe Hospital affiliated of Hubei University of Medicine. A total of 34 cases used normal saline as oral care ( before used breast milk as oral care) as control group between January 2010 and December 2011, and 38 cases utilized breast milk for oral care (after used breast milk as oral care) as observation group between January 2012 and December 2013. Both groups were compared by the results of oral pharyngeal and tracheal secretion culture after tracheal intubation, and the incidence of VAP. Results Contrasted 32. 35%, (103. 62 ± 23. 07) h,(17. 94 ± 2. 53) d in the control group, the incidence of VAP, duration of ventilatory support, and length of hospital stays in the observation group were 10. 53%,(92. 76 ± 14. 15) h and (14. 95 ± 2. 25) d (t/χ2 =5. 183,2. 373,5. 307;P <0. 05). After using breast milk for oral care, the pathogenic microorganisms detection rate of oropharyngeal and endotracheal was 10. 53% and 7. 89%, lower than 32. 35%and 26. 47% in the control group, the differences were statistically significant(χ2 =5. 18,4. 46;P <0. 05). Conclusions Using breast milk as oral care can effectively prevent neonatal VAP, and reduce duration of ventilatory support as well as the length hospital stays.
