改良口腔护理在经口气管插管患者中的应用  

The effects of a new oral care method for the TIBOC patients

作　　者：方丹[1] 

机构地区：[1]四川大学华西医院神经外科,四川成都610041

出　　处：《安徽医药》2018年第3期554-556,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的评价改良口腔护理方法在经口气管插管患者中的临床应用效果。方法将神经外科收治的73例经口气管插管患者采用随机数字表法随机分为研究组(38例)和对照组(35例),研究组采用改良口腔护理法,即使用棉球擦拭口腔后再用新型口腔冲洗器进行口腔冲洗,对照组采用传统棉球擦拭法,比较两组患者的牙菌斑指数、发生口臭和呼吸机相关性肺炎(VAP)的病例数。结果两组患者牙菌斑指数、口臭和VAP的发生率差异有统计学意义(P<0.05)。结论改良口腔护理法能提高口腔护理效果。Objective To evaluate clinical outcomes of a new oral care method for the tracheal intubation by oral cavity(TIBOC) patients.Methods Totally 73 cases of patients in the neurosurgical units were randomly assigned into the experimental group(n = 38)and the control group(n = 35) by a random number table method.The new oral care method and conventional method were respectively implemented in the experimental group and the control group.The experimental group adopted oral rinse with new oral irrigator after wiping the oral cavity with cotton ball while the control group adopted the conventional wiping method with cotton ball.The dental plaque index,the number of cases with halitosis and the number of cases with ventilator-associated pneumonia(VAP) were compared between the two groups.Results The experimental group was more effective than the control group in the oral status,with the lower dental plaque index and the lower incidence of halitosis and VAP(P < 0.05).Conclusions The new oral care method can achieve more effect in oral care.

关 键 词：口腔 护理 插管法 气管内 

分 类 号：R472.2[医药卫生—急诊医学]