刷牙冲洗法对ICU经口气管插管患者口腔护理的效果研究  

Brushing-teeth irrigation for patients＇ oral care after trachea intubation in ICU

作　　者：吴秀玲[1] 汪海芹[1] 罗玉珍[1] 李润华[1] 陈雨婵[1] 

机构地区：[1]江门市中心医院重症医学科,529030

出　　处：《国际医药卫生导报》2014年第4期568-571,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨刷牙冲洗法对ICU经口气管插管患者口腔护理的临床效果.方法 将150例ICU经口气管插管患者随机分为实验组（n=75）和对照组（n=75）,实验组采用儿童软毛牙刷蘸牙膏刷牙,然后用生理盐水冲洗的方法进行口腔护理,对照组采用传统口腔护理方法进行口腔护理,对两组患者口腔护理的效果进行比较.结果 实验组患者口腔护理效果明显优于对照组患者,与对照组比较,实验组患者口臭发生率为6.67％、口腔溃疡发生率为1.33％、疱疹发生率为4.00％及呼吸机相关性肺炎发生率均明显降低,经统计学分析,差异均有统计学意义（P＜0.05）.结论 刷牙冲洗法应用于ICU经口气管插管患者口腔护理,能促进患者舒适,降低气管插管后并发症的发生.Objective To explore the clinical effect of brushing-teeth irrigation for patients＇ oral care after trachea intubation in ICU.Methods 150 patients taking oral trachea intubation were randomly divided into an experimental group and a control group,75 cases for each group.The experimental group used child fur toothbrush ditpping toothpaste to brush teeth,then flushed their mouths with normal saline.The control group received traditional oral care.The efficacies of the 2 groups were compared.Results The oral care effect was better in the experimental group than in the control group.6.67％ patients got ozostomia,1.33％ oral ulcer,and 4.00％ herpes,and the incidence of ventilator associated pneumonia were significantly low in the experimental group,comparing with the control group,there were statistical differences（P＜0.05）.Conclusions Brushing-teeth irrigation for patients＇ oral care after trachea intubation in ICU can make the patients comfortable and lower the incidence of the complications after intubation.

关 键 词：刷牙冲洗法 经口气管插管 口腔护理 

分 类 号：R472[医药卫生—护理学]