机械通气患者增加刷牙频次对预防呼吸机相关肺炎的作用  

Prevention of VAP by increasing frequency of brushing teeth in mechanically ventilated patients

作　　者：王静[1] 李建民 马荣丽[3] 朱辰蕊[1] 陆岩[1] 张丽萍 孟杨[1] 郁文芝[1] 

机构地区：[1]开滦总医院神经外科,河北唐山063000 [2]华北理工大学附属医院 [3]唐山市截瘫疗养院 [4]唐山市120急救指挥中心

出　　处：《河北联合大学学报（医学版）》2016年第2期110-112,共3页Journal of North China Coal Medical College

摘　　要：1目的探讨机械通气患者刷牙频次在降低呼吸机相关性肺炎(ventilator associated pneumonia,VAP)中的作用。2方法选择开滦医院神经外科重症监护病房气管切开接呼吸机辅助呼吸患者60例,于机械通气后随机分为两组,即观察组和对照组,每组各30例。观察组给予高露洁漱口液刷牙,1次/6h;对照组应用相同漱口液刷牙,1次/12h。于刷牙前及刷牙后2、7d比较两组患者清洁口腔后口腔感染、VAP发生率。3结果两组患者刷牙前均无口腔感染及VAP的发生;刷牙后2、7d观察组的口腔感染、VAP发生率与对照组比较差异有统计学意义(P<0.05或P<0.01)。4结论通过增加机械通气患者刷牙频次可降低VAP的发生率。Objective By increasing the frequency of brushing teeth in reducing ventilator-associated pneumonia（ventilator associated pneumonia,VAP）of mechanically ventilated patients to be explored.Methods 60 patients with picking mechanical ventilation after tracheotomy were selected in NICU of Kailuan general hospital.Therefore,60 patients were randomly divided into two groups,30 cases in per group.Experimental group was given Colgate（Colgate-Palmolive（China）Co.,Ltd.）mouthwash brushing 1/6hours,in the control group were given Colgate（Colgate-Palmolive（China）Co.,Ltd.）mouthwash brushing 1/12 hours.Before intervention and after intervention in 48 h,after intervention at the 7thday,patients in two groups were compared with the mouth oral infections and VAP incidence difference.Results The two groups of patients before the intervention had no oral infections and the incidence of VAP;But after intervention in 48 h,at the 7thday,that in experimental group,oral infections,VAP incidence compared with the control group,the difference was statistically significant（P 〈0.05 or P 〈0.01）.Conclusion By increasing the frequency of brushing in mechanically ventilated patients can reduce the incidence of VAP,worthy of use in clinical practice.

关 键 词：机械通气 刷牙频次 呼吸机相关性肺炎 

分 类 号：R472[医药卫生—护理学]