口腔护理提高再发肺炎患者咳嗽反射敏感性的研究  

Study of oral care on improving cough reflex sensitivity of recurrent pneumonia patients

作　　者：韩则政[1] 刘慧 方燕红[1] 程爱红[1] 赵欢欢[1] 余红梅[1] 吴长蓉[1] 

机构地区：[1]武汉大学中南医院呼吸内科,430000 [2]水果湖高级中学

出　　处：《中华现代护理杂志》2009年第7期624-625,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨口腔护理提高咳嗽反射敏感性，减少肺炎再发的效果。方法对19例再发肺炎患者实施口腔护理，采用辣椒素诱导咳嗽反射法，于口腔护理开始前、实施口腔护理后的第20天和第12个月检测咳嗽反射阈值，同时记录口腔护理前后再发肺炎的时间间隔。结果本组实施口腔护理后第20天的咳嗽反射阈值为（1．54±0．06）mmol，明显低于口腔护理前的（2．13±0．05）mmol（P〈0．05）；第20天与第12个月的咳嗽反射阈值（1．61±0．08）mmol比较，差异无统计学意义（P〉0．05）；口腔护理后肺炎再发间隔时间为（210±54）d，显著长于口腔护理前的（143±71）d（P〈0．05）。结论口腔护理可以提高再发肺炎患者咳嗽反射的敏感性，延长肺炎再发的间隔时间。Objective To explore the effects of oral care on improving cough reflex sensitivity and prolonging time span of recurrent pneumonia. Methods Oral care was conducted among 19 pateints with recurrent pneumonia. Using capsaiein-induced cough reflex method, cough reflex thresholds were measured in 19 patients with recurrent pneumonia before the study began, at the 20th day and the twelfth month after the study began. The reeorrent time spans were recorded before and after the oral care at the same time. Results Cough reflex threshold was （ 1.54 ± 0.06） mmol at the 20th day after the oral care began, which was significantly lower than （2.13 ±0.05） mmol before the the oral care began （P 〈0. 05） ; There was no significant difference between the cough reflex thresholds at the 20th day and the twelfth month （1.61 ± 0.08 ）mmol （P 〉 0. 05 ）. Pneumonia recurrent time span （210± 54 ）days was signifieantly longer after performing the oral care than that （ 143± 71 ） days of before performing the oral care （ P 〈 0. 05 ）. Conclusions Oral care may improve the cough reflex sensitivity among pateints with recurrent pneumonia. It can prolong the time span of recurrent pneumonia.

关 键 词：肺炎 复发 口腔护理 咳嗽反射 

分 类 号：R472[医药卫生—护理学]