CAJ | 학술논문

目的：探讨不同口腔护理频次及方法在预防呼吸机相关性肺炎发生的影响。方法将2012年1－12月在我院IC U行经口机械通气的患者分为两组，2012年1－12月的356例患者设为对照组（采用Q 8 h传统口腔护理方法），2013年1月－2013年12月379例患者设为观察组（采用Q 6 h改良口腔护理方法），分析和对比两组患者呼吸机相关性肺炎的发生率及平均机械通气的时间、平均住ICU时间。结果与对照组比较，观察组患者VAP发生率、平均机械通气时间及平均住ICU时间均明显降低或缩短（P＜0．05）。结论间隔6 h进行1次口腔护理，并采用改良后的口腔护理方法，能明显降低VAP的发生，并缩短病人机械通气及住院的时间。
목적：탐토불동구강호리빈차급방법재예방호흡궤상관성폐염발생적영향。방법장2012년1－12월재아원IC U행경구궤계통기적환자분위량조，2012년1－12월적356례환자설위대조조（채용Q 8 h전통구강호리방법），2013년1월－2013년12월379례환자설위관찰조（채용Q 6 h개량구강호리방법），분석화대비량조환자호흡궤상관성폐염적발생솔급평균궤계통기적시간、평균주ICU시간。결과여대조조비교，관찰조환자VAP발생솔、평균궤계통기시간급평균주ICU시간균명현강저혹축단（P＜0．05）。결론간격6 h진행1차구강호리，병채용개량후적구강호리방법，능명현강저VAP적발생，병축단병인궤계통기급주원적시간。
Objective To study the effect on the prevention of ventilator‐associated pneumonia ( VAP) by differ‐ent oral care frequency .Method Patients with oral mechanical ventilation in ICU of our hospital from January 2012 to December 2013 was selected and randomly divided into two groups .356 patients from January 2012 to December 2012 was selected as control group ( adapted Q 8 h traditional oral care method) .379 patients from January 2013 to December 2013 was selected as observation group ( adapted Q 6 h traditional oral care method) .The incidence of ventilator‐associated pneumonia ,The average length of ICU stay and average length of mechanical ventilation was measured and compared between the two group .Result Compared with the control group ,The incidence of VAP ,av‐erage duration of mechanical ventilation and average length of ICU stay are significantly reduced or shortened(P<0 .05) .Conclusion The incidence of VAP and length of mechanical ventilation and hospital stay can be reduced by one oral care after six 6 h intervals and using modified method of oral care .