银尔通联合组合吸痰管在ICU经口气管插管患者口腔护理应用中的效果观察  

Effect of sputum-aspirating device combined with Yinertong on oral care to ICU patients with orotracheal intubation

作　　者：金舟[1] 孙玺荣[1] 

机构地区：[1]解放军第一八一医院,广西桂林541000

出　　处：《现代临床护理》2016年第10期45-48,共4页Modern Clinical Nursing

摘　　要：目的探讨组合吸痰管联合银尔通在ICU经口气管插管患者口腔护理应用中的效果。方法对110例ICU经口气管插管患者按照气管插管次序,单数纳入观察组,双数纳入对照组。两组患者均使用银尔通口腔护理液,对照组采用传统方法,观察组采用组合吸痰管口腔护理。比较两组患者气管插管期间或拔管后48 h内呼吸机相关性肺炎的发生率及口腔清洁度、口腔异味和黏膜健康情况。结果观察组患者口腔清洁度、异味及黏膜健康均优于对照组;呼吸机相关性肺炎发生率低于对照组(均P<0.05)。结论经口气管插管患者采用组合吸痰管联合银尔通口腔护理方法能有效提高口腔清洁度,减少口腔异味,保护口腔黏膜,有效预防呼吸机相关性肺炎的发生。Objective To explore the effect of sputum-aspirating combined Yinertong on oral care to ICU patients with orotracheal intubation. Methods One hundred and ten ICU patients with orotracheal intubation were randomly divided into control group and observation group in equal number. The two groups were orally cared with Yinertong. The control group was managed with traditional method of swabbing with cotton ball（3 times/d） and the observation group with sputum-aspirating device（3 times/d）. The two groups were compared in terms of incidence of ventilator associated pneumonia（VAP）, oral cavity cleanness, bad flavor in oral cavity and mucosal damage during oral trachea cannula or after extubation within 48 h between two groups. Results The incidence of VAP in the observation group was lower than that in the control group（P〈0.05）. Oral cleanliness of the observation group was better than that of the control group（ P〈0.05）. Bad flavor in oral cavity of the observation group was significantly better than that of the control group（P〈0.05）. The oral ulcer incidence of the observation group was significantly lower than that of the control one（P〈0.05）.Conclusion The sputum-aspirating device combined with Yinertong can effectively reduce the oral infection and bad flavor and prevent the occurrence of VAP.

关 键 词：组合吸痰管 呼吸机相关性肺炎 口腔护理 

分 类 号：R472[医药卫生—护理学]