摘要
目的:探讨自拟中药漱口方对预防激素雾化患者口腔真菌感染的护理效果及对相关并发症的影响。方法:选择2020年1月—2021年3月广州市增城区中医医院接受激素雾化收治的95例肺部疾病患者作为研究对象,采用随机数字单盲法将患者分为对照组(n=47)和研究组(n=48)。所有患者均接受布地奈德福莫特罗吸入粉雾剂雾化治疗。每次治疗后,对照组采用生理盐水漱口护理;研究组采用自拟中药漱口方漱口护理。比较两组患者干预前、干预3 d、5 d、7 d后口腔pH值、口腔真菌感染情况及其他口腔相关并发症发生情况。结果:研究组干预5 d、7 d后口腔pH值均高于对照组,差异有统计学意义(t=2.598、2.856,P<0.05);研究组干预7 d后真菌感染率低于对照组,差异有统计学意义(χ2=4.540,P<0.05);研究组干预后口腔疱疹、口腔溃疡及白念菌病等口腔并发症发生率明显低于对照组,差异有统计学意义(χ2=5.207,P<0.05)。结论:中药漱口方可有效改善激素雾化患者口腔pH环境,降低口腔真菌感染及相关并发症的发生率,临床护理效果满意。
Objective:To investigate the nursing effect of self prepared gargle prescription on preventing oral fungal infection in patients with hormone atomization and the influence on related complications.Methods:Ninety-five patients with lung disease admitted to the hospital receiving hormone nebulization from January 2020 to March 2021 were selected for the study and were di⁃vided into control group(n=47)and study group(n=48)using a randomized digital single-blind method.All patients were treated with budesofenitrol inhalation aerosol.All patients received budesonide formoterol inhalation powder nebulizer treatment.After each treatment,the control group used saline mouth rinse care and the study group used self-prepared herbal mouth rinse formula for mouth rinse care.The oral pH,oral fungal infections and other oral related complications were compared between the two groups before,3 d,5 d and 7 d after the intervention.Results:Oral pH was higher in the study group than in the control group af⁃ter 5 d and 7 d of intervention,with statistically significant differences(t=2.598,2.856,P<0.05).The rate of fungal infection was lower in the study group than in the control group after 7 d of intervention,and the difference was statistically significant(χ2=4.540,P<0.05).The incidence of oral complications such as oral herpes,oral ulcers and leukoplakia was significantly lower in the study group than in the control group after the intervention,with statistically significant differences(χ2=5.207,P<0.05).Conclu⁃sion:Chinese medicine mouthwash can effectively improve the oral pH environment of hormone nebulized patients,reduce the inci⁃dence of oral fungal infections and related complications,and the clinical care effect is satisfactory.
作者
钟建娣
黄伟霞
梁华超
郭绮萍
ZHONG Jian-di;HUANG Wei-xia;LIANG Hua-chao(Department of Spleen and Gastroenterology,Zengcheng District Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong,511300,China)
出处
《黑龙江医学》
2023年第6期718-720,共3页
Heilongjiang Medical Journal
关键词
中药漱口方
激素治疗
雾化治疗
口腔真菌感染
护理效果
Chinese medicine gargle
Hormone therapy
Atomization therapy
Oral fungal infection
Nursing effect
