口腔冲洗护理在整形修复颌面外科中的应用  

Application of oral flushing in plastic surgery for maxillofacial reconstruction

作　　者：娄媛媛[1] 

机构地区：[1]解放军总医院整形修复科,北京100853

出　　处：《中华医院感染学杂志》2012年第6期1157-1158,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨行口腔清洁护理的新方法。方法按手术日期单双号将86例行整形修复颌面外科手术的患者随机分为口腔冲洗组即试验组44例,传统口腔护理组即对照组42例,通过自行设计的问卷,调查患者的主观感觉舒适度、护士的评估和口腔分泌物细菌培养3个方面进行比较,两组患者性别、年龄、病情比较差异无统计学意义。结果试验组在感觉舒适度、清洁效果方面明显优于对照组;口腔分泌物细菌培养,试验组阳性率为2.3%、对照组为28.6%;差异均有统计学意义(均P<0.05)。结论口腔冲洗清洁护理在口腔颌面外科中的应用,填补了传统的口腔护理操作方法的不足,且适用范围广,适用于口腔内有伤口、张口受限、不能张口、吐口水受限的患者,如颌间牵引、颅颌绷带固定患者等。OBJECTIVE To explore the new methods for oral care.METHODS According to the date of surgery,86 patients receiving plastic and reconstructive surgery for maxillofacial reconstruction were divided into two groups.The oral flushing was used in the experimental group with 44 cases.The traditional oral care was used in the control group with 42 cases.The patients＇ subjective feeling of comfort,assessment by nurses,and bacterial cultures of oral secretions in two groups were compared after the surgery.The gender,age and pathogenetic condition of the 86 patients had no statistical significance.RESULTS After the treatment,the effect of oral care in the experimental group was better than that in the control group.The positive rate of the experimental group was 2.3%,the control group was 28.6%.The difference was statistically significant（P0.05）.CONCLUSION The oral flushing can ensure the patients′ oral hygiene,improve the quality of nursing care,and promote intraoral wound healing,which compensates the inadequacy of traditional oral care.Therefore,oral flushing should be widely applied in clinical work.

关 键 词：整形修复颌面外科 口腔冲洗 护理 

分 类 号：R181.32[医药卫生—流行病学]