经口气管插管患者口腔护理操作流程的建立与应用  

Oral hygiene procedures for patients with orotracheal intubation

作　　者：柯燕燕[1] 蒲萍[1] 马丽萍[1] 

机构地区：[1]第三军医大学新桥医院神经外科,重庆400037

出　　处：《护理学杂志》2017年第20期55-58,共4页Journal of Nursing Science

摘　　要：目的建立经口气管插管患者口腔护理操作流程,探讨其临床应用效果。方法将NICU 96例经口气管插管患者随机分为对照组和观察组各48例,对照组采用常规口腔护理方法,观察组建立经口气管插管患者口腔护理操作流程并用于患者口腔护理中。结果观察组口腔护理实施第3、5天Beck口腔轻度受损发生率显著低于对照组,口腔护理效果第1、3、5天显著优于对照组,呼吸机相关性肺炎发生率显著低于对照组(均P<0.05)。结论经口气管插管患者口腔护理操作流程的建立能指引护理人员规范操作,从而提高口腔护理质量,降低呼吸机相关性肺炎发生率。Objective To develop oral hygiene procedures for patients with orotracheal intubation and to explore its clinical application effect.Methods A total of 96 patients with orotracheal intubation in the neurosurgical intensive care unit were equally randomized into a control group and an observation group,receiving either conventional oral hygiene or modified alternative guided by the newly developed operating procedures.Results The observation group had lower incidence of mild oral cavity damage measured using the Beck Oral Assessment Scale on day 3 and day 5,better oral care effect on day 1,day 3 and day 5,as well as lower incidence of ventilator-associated pneumonia（VAP）than the control group（P〈0.05 for all）.Conclusion Development of oral hygiene procedures can standardize oral care,thus to improve oral care quality and reduce VAP.

关 键 词：神经外科 重症监护病房 经口气管插管 口腔护理 操作流程 临床实践 

分 类 号：R472[医药卫生—护理学]