CAJ | 학술논문

[目的]评价刷牙对行机械通气病人呼吸机相关性肺炎（VAP）发生率的影响。[方法]采用Cochrane系统评价方法，检索国内外相关文献，纳入符合标准的随机对照试验（RCT）和类实验性研究（CCT）进行Meta分析。[结果]共纳入19篇RCT和1篇CCT。M eta分析结果显示，对于行机械通气的病人给予刷牙能有效降低呼吸机相关性肺炎的发生率，同时还可以降低牙菌斑指数、缩短机械通气时间及IC U住院时间、降低病死率以及减少口腔疾病的发生率等。[结论]行机械通气的病人给予刷牙不仅能有效降低VAP的发生率，还可缩短住院时间。
[목적]평개쇄아대행궤계통기병인호흡궤상관성폐염（VAP）발생솔적영향。[방법]채용Cochrane계통평개방법，검색국내외상관문헌，납입부합표준적수궤대조시험（RCT）화류실험성연구（CCT）진행Meta분석。[결과]공납입19편RCT화1편CCT。M eta분석결과현시，대우행궤계통기적병인급여쇄아능유효강저호흡궤상관성폐염적발생솔，동시환가이강저아균반지수、축단궤계통기시간급IC U주원시간、강저병사솔이급감소구강질병적발생솔등。[결론]행궤계통기적병인급여쇄아불부능유효강저VAP적발생솔，환가축단주원시간。
Objective:To evaluate the influence of brushing teeth on the incidence of ventilator associated pneu‐monia (VAP) in patients with mechanical ventilation .Methods:By searching the relevant literatures both at home and in abroad .Cochrane systematic review was used to do Meta analysis of randomized controlled trials (RCT) and experimental studies (CCT) which met the inclusion criteria .Results:A total of 19 RCT and 1 CCT were included .Meta analysis showed that patients with mechanical ventilation could effectively reduce the inci‐dence of VAP .At the same time ,it could reduce plaque index ,shorten mechanical ventilation time and length of stay in ICU ,reduce the mortality rate and reduce the incidence of oral disease .Conclusion:tooth brushing for pa‐tients with mechanical ventilation can not only effectively reduce the incidence of VAP ,but also shorten the length of stay .