机械通气患者口腔护理效果研究  

Effectiveness of oral care in mechanically ventilated patients

作　　者：蒋艳[1] 袁智慧[2] 周明芳[1] 

机构地区：[1]第三军医大学护理学院临床护理学教研室,重庆400038 [2]重庆市第五人民医院ICU

出　　处：《护理学杂志》2015年第2期45-47,共3页

基　　金：第三军医大学护理学院创新基金资助项目(2014HLCXM03)

摘　　要：目的了解机械通气患者口腔护理效果。方法采用便利抽样法选取某三级甲等医院ICU收治的47例机械通气患者,常规口腔护理后检测中切牙、侧切牙、尖牙及第一前磨牙共16颗牙邻面及颈部残留牙菌斑量。结果经口腔护理后,47例患者被检牙均残留不同程度牙菌斑,其中,牙邻面菌斑残留量显著多于牙颈部;随牙位后移,各部位菌斑量显著增加(均P<0.05)。不同象限同一牙位菌斑残留量差异无统计学意义(均P>0.05)。结论现行口腔护理方法清除牙菌斑效果不理想,尤其是后牙远中邻面菌斑清除困难,有待改良护理技术以提高口腔护理质量。Objective To explore the effectiveness of present oral care practices in mechanically ventilated patients. Methods Totally, 47 mechanically ventilated patients were selected from an intensive care unit of a tertiary hospital by using convenience sampling method. Plaque accumulations were scored at each approximal and cervical site for the buccal surfaces of the eight upper （maxillary central incisor, maxillary lateral incisor, maxillary canine, and maxillary first premolar） and eight lower teeth （mandibular central incisor, mandibular lateral incisor, mandibular canine, and mandibular first premolar） after each routine oral hygiene procedure with cotton swabs. Results All detected teeth could be found dental plaque after oral care practices. The plaque score at each approximal site was higher than that at cervical site, and there was a significant tendency that dental plaque was removed less and less from the incisors to the first premolars （P〈0.05 for all）. The plaque scores of the corresponding maxillary and mandibular teeth had no significant differences （P〉0.05 for all）. Conclusion Dental plaque especially that located at distal approximal site of the premolars could not be adequately removed after present oral care practices. Oral care practices should be improved to enhance oral care efficiency.

关 键 词：机械通气 口腔护理 牙菌斑 

分 类 号：R472[医药卫生—护理学]