经口气管插管患者0.12%氯己定联合负压吸引式牙刷刷牙的效果观察  

Effect of 0.12% Chlorhexidine with Negative Pressure Suction Toothbrush in Orotracheal Intubation Patients

作　　者：刘晓玲[1,2] 李亚洁[1] 向素英[2] 王婉洁[2] 

机构地区：[1]南方医科大学南方医院临床护理教研室,广东广州510515 [2]深圳市中医院ICU,广东深圳518033

出　　处：《护理学报》2014年第10期5-8,共4页Journal of Nursing（China）

摘　　要：目的探讨0.12%氯己定联合负压吸引式牙刷刷牙在经口气管插管机械通气患者口腔护理中的效果。方法采用抽签法随机分组原则将2012年10月—2013年11月在我科行气管插管机械通气治疗的70例患者分为观察组和对照组各35例,其中观察组有2例被剔除,实际为33例。两组均采用0.12%氯己定作为标准口腔护理液,观察组联合应用负压吸引式牙刷刷牙进行口腔护理,对照组采用传统的口腔擦拭法进行口腔护理,均4次/d,观察7 d。比较两组患者口腔护理前后口咽部细菌培养检出率、口腔护理后2 h口腔异味及呼吸机相关性肺炎的发生率。结果观察组口咽部细菌培养检出率、口腔异味及呼吸机相关性肺炎的发生率均低于对照组(P<0.05),差异有统计学意义。结论经口气管插管机械通气患者采用0.12%氯己定联合负压吸引式牙刷刷牙能更好地减少口腔细菌定植,消除口腔异味,降低呼吸机相关性肺炎的发生率。Objective To explore the effect of 0.12% chlorhexidine with negative pressure suction toothbrush in patients with mechanical ventilation through orotracheal intubation. Methods Seventy patients undergoing mechanical ventilation through orotracheal intubation from October 2012 to November 2013 were randomly divided into observation group（n=35, but 2 patients were removed） and control group（n=35）. With 0.12% chlorhexidine as standard oral care solution, negative pressure toothbrush was applied in observation group for oral care while in control group traditional mouth scrubbing was used for 4 times/d for seven days. Oropharyngeal bacterial culture detection rate before and after oral care was compared and the incidence of oral odor two hours after oral care and ventilator-associated pneumonia（VAP） were recorded. Results The oropharyngeal bacterial culture detection rate and incidence of oral odor and VAP in observation group were lower than those in control group（P〈0.05）. Conclusion 0.12% chlorhexidine with negative pressure suction toothbrush is beneficial to eliminating bad breath, reducing oropharyngeal bacterial propagation and the incidence of VAP for patients with mechanical ventilation through orotracheal intubation.

关 键 词：机械通气 口腔护理 氯己定 负压吸引式牙刷 

分 类 号：R472[医药卫生—护理学]