刷牙配合冲洗法在ICU经口气管插管病人口腔护理的应用研究  

Tooth brushing with mouth washing in oral care for intubated patients in ICU

作　　者：林玉珍[1] 汪海芹[1] 罗玉珍[1] 梁锦云[1] 高明珠[1] 

机构地区：[1]中山大学附属江门医院,529030

出　　处：《国际医药卫生导报》2012年第11期1661-1663,共3页International Medicine and Health Guidance News

摘　　要：目的探讨用儿童牙刷刷牙配合冲洗法在经口气管插管病人口腔护理的效果。方法将268例经口气管插管患者随机分为对照组和实验组各134例，对照组采用传统的生理盐水棉球擦洗行口腔护理，实验组采用儿童牙刷刷牙配合冲洗法和负压吸引行口腔护理，比较两组的治疗效果。结果对照组患者口腔异味、口腔炎、口腔溃疡、肺部感染分别为58、26、18、14、10例，而实验组仅有16、12、7、6、4例；实验组牙菌斑指数也明显低于对照组，经统计学分析，差异均有统计学意义（P〈0．05／o结论采用儿童牙刷刷牙配合冲洗法对经口气管捅管患者行口腔护理能有效减少并发症的发生。Objective To investigate the effect of tooth brushing witth children＇s toothbrush plus mouth washing method in oral care for patients undergoing orotracheal intubation. Methods 268 patients undergoing orotracheal intubation were randomly divided into control group and study group, 154 for each group. The control group received conventional oral care with saline cotton ball scrub, while the study group received oral care with tooth brushing with children＇s toothbrush plus mouth washing and negative pressure attraction. The efficacy was compared between the two groups. Results In the control group, oral odor developed in 58 patients, stomatitis in 26, oral ulcers in 18, and lung infections in 14~ but in the study group, the number of patients was 16, 12, 7, and 6, respectively. The dental plaque index was significantly lower in the study group than in the control group, with a significant statistical difference （ P 〈 0.05 ）. Conclusions Oral care with children＇s toothbrush plus mouth for patients undergoing orotracheal intubation can effectively reduce the occurrence of complications.

关 键 词：儿童牙刷 冲洗法 气管插管 口腔护理 

分 类 号：R472[医药卫生—护理学]