不同口腔护理方法对预防呼吸机相关性肺炎的效果观察  

Observation the effect of preventing ventilator-associated pneumonia by three oral nursing methods

作　　者：谭志平[1] 钱雷[1] 吴凤会[1] 陆嫔嫔[1] 

机构地区：[1]江苏省盐城市滨海县人民医院,224500

出　　处：《护理实践与研究》2012年第16期29-30,共2页Nursing Practice and Research

摘　　要：目的:探讨不同的口腔护理方法预防呼吸机相关性肺炎的效果观察。方法:将101例经口气管插管患者随机分组,分别采用常规口腔护理方法(对照组),每12 h用0.2%洗必泰口腔护理液冲洗(标准组),每12 h用牙刷刷牙(刷牙组)进行口腔护理。比较三组患者呼吸机相关性肺炎的发生情况。结果:标准组、刷牙组与对照组相比,呼吸机相关性肺炎发生率明显减少(P<0.05),刷牙组与标准组相比,呼吸机相关性肺炎发生率无统计学意义(P>0.05)。结论:0.2%洗必泰口腔护理液冲洗和刷牙均能有效降低呼吸机相关性肺炎的发生率。Objective：To discuss the effect observation of different oral nursing methods to prevent ventilator-associated pneumonia（VAP）.Methods： 101 patients with orotracheal intubation patients were randomized to routine oral nursing（control group）,oral every 12h with 0.2% chlorhexidine digluconate（standard group）,and every 12h with toothbrushing（toothbrushing group）.Comparison the incidence of three groups of patients with ventilator-associated pneumonia cases.Results： The standard group,brushing group compared with the control group,the morbidity of ventilator-associated pneumonia was significantly reduced（P0.05）,toothbrushing and compared to standard group,ventilator-associated pneumonia incidence was not statistically significant（P0.05）.Conclusion：both oral nursing every 12h with 0.2% chlorhexidine digluconate and toothbrushing can reduce VAP incidences.

关 键 词：口腔护理 呼吸机相关性肺炎 洗必泰 

分 类 号：R472[医药卫生—护理学]