摘要
目的:观察冲吸式口护吸痰管应用于经口气管插管机械通气患者口腔护理中的效果。方法:将50例经口气管插管行机械通气48 h以上患者,随机分为对照组(26例)和改良组(24例)。对照组患者采用传统口腔护理方法;改良组患者采用冲吸式口护吸痰管进行口腔护理。对两组患者牙菌斑去除率、口腔并发症及呼吸机相关性肺炎(VAP)的发生率等进行观察和比较。结果:改良组患者的口腔并发症、VAP的发生率均明显低于对照组,牙菌斑去除率及发生VAP患者的MV时间均高于对照组,P<0.05,差异有统计学意义。结论:冲吸式口护吸痰管患者的口腔护理效果优于传统口腔护理。
Objective To observe oral care effectiveness of flush suction oral care sputum suction tube for patients with oral rachea cannula during mechanical ventilation. Methods ： 5 0 cases with oral trachea cannula during mechanical ventilation above 48 hours were selected. They were divided into control group （ n = 26） and improvement group （ n = 24） randomly. The traditional oral care was applied in the control group, while the flush suction oral care sputum suction tube was applied in the improvement group. The dental plaque clearance and the incidences of the oral complications and v entilator-as sociated pneumonia （ VAP） were analyzed and compared between the two groups. Results ： The incidences of the oral complications and VAP in the improvement group were lower han those in the control group. The dental plaque clearance and the time of the mechanical ventilation in the patients with VAP were higher than those in the control group, and the differences were statistically significant （ P 〈0 . 0 5 ） . Conclusions： Oral care by flush suction oral care sputum suction tube is more effective than the traditional oral care.
作者
吴艳丽
吴炳华
刘夕珍
WU Yanli WANG Liwen UU Xizhen(Intensive Care Unit of Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing Jiangsu 210029, China)
出处
《中国民康医学》
2016年第19期74-76,共3页
Medical Journal of Chinese People’s Health
关键词
经口气管插管
机械通气
冲吸式口护吸痰管
口腔护理
牙菌斑
VAP
Oral trachea c an n u la
Mechanical ventilation
Flush suction oral care sputum suction tu b e
Oral c a re
Dental plaque
VAP
