刷牙对机械通气病人呼吸机相关性肺炎发生率影响的Meta分析  

Meta analysis of influence of brushing teeth on incidence of ventilator-associated pneumonia in patients with mechanical ventilation

作　　者：魏林波[1] 沈志云[1] 陈珺仪 胡雁[1] 卢惠娟[1] 

机构地区：[1]复旦大学护理学院

出　　处：《护理研究（中旬版）》2015年第11期3983-3990,共8页Chinese Nursing Researsh

基　　金：复旦大学护理科研基金项目;编号:FNF-2010-11

摘　　要：[目的]评价刷牙对行机械通气病人呼吸机相关性肺炎(VAP)发生率的影响。[方法]采用Cochrane系统评价方法,检索国内外相关文献,纳入符合标准的随机对照试验(RCT)和类实验性研究(CCT)进行Meta分析。[结果]共纳入19篇RCT和1篇CCT。Meta分析结果显示,对于行机械通气的病人给予刷牙能有效降低呼吸机相关性肺炎的发生率,同时还可以降低牙菌斑指数、缩短机械通气时间及ICU住院时间、降低病死率以及减少口腔疾病的发生率等。[结论]行机械通气的病人给予刷牙不仅能有效降低VAP的发生率,还可缩短住院时间。Objective： To evaluate the influence of brushing teeth on the incidence of ventilator- associated pneu- monia （VAP） in patients with mechanical ventilation. Methods： By searching the relevant literatures both at home and in abroad. Coehrane systematic review was used to do Meta analysis of randomized controlled trials （RCT） and experimental studies （CCT） which met the inclusion criteria. Results：A total of 19 RCT and 1 CCT were included. Meta analysis showed that patients with mechanical ventilation could effectively reduce the inci- dence of VAP. At the same time,it could reduce plaque index,shorten mechanical ventilation time and length of stay in ICU, reduce the mortality rate and reduce the incidence of oral disease. Conclusion.tooth brushing for pa- tients with mechanical ventilation can not only effectively reduce the incidence of VAP, but also shorten the length of stay.

关 键 词：机械通气 呼吸机相关性肺炎 刷牙 口腔护理 META分析 tothbrushing 

分 类 号：R473.56[医药卫生—护理学]