千金苇茎汤联合含漱液口腔护理应用于重症监护病房肺部感染效果分析  

Analysis of Effect of Qianjin Weijing Tang Combined with Oral Nursing with Gargle on Pulmonary Infection in Intensive Care Unit

作　　者：李洪波 LI Hongbo

机构地区：[1]宁波市第九医院医院感染管理科,浙江宁波315020

出　　处：《新中医》2020年第7期154-156,共3页New Chinese Medicine

摘　　要：目的:观察在常规治疗与护理基础上加用千金苇茎汤联合中药含漱液口腔护理防治重症监护病房肺部感染患者的临床效果。方法:将本院重症监护病房收治的72例肺部感染痰热蕴肺证患者,以随机数字表法分为对照组与试验组各36例。2组均予常规治疗与护理措施进行干预,实验组加用千金苇茎汤内服和中药含漱液口腔护理。2组均连续治疗21 d。比较2组的临床疗效、治疗结束1个月后的肺部感染复发率,观察治疗前后2组患者口咽部致病菌菌株数的变化。结果:治疗后,试验组总有效率91.67%,对照组总有效率66.67%,2组比较,差异有统计学意义(P<0.01)。2组口咽部致病菌菌株数均较治疗前减少,试验组口咽部致病菌菌株数低于对照组,差异均有统计学意义(P<0.05)。治疗结束2个月后,2组肺部感染复发率比较,差异无统计学意义(P>0.05)。结论:在常规治疗与护理措施基础上加用千金苇茎汤内服与中药含漱液口腔护理干预重症监护病房肺部感染患者,可有效减少口腔细菌数量,从而降低因细菌位移而发生的肺部感染率,临床疗效确切。Objective: To observe the clinical effect of Qianjin Weijing tang combined with oral nursing with Chinese herbal gargle based on routine treatment and nursing in the prevention and treatment of patients with pulmonary infection in intensive care unit. Methods:A total of 72 cases of patients with pulmonary infection with phlegm-heat stagnating syndrome in our intensive care unit were divided into the control group and the test group according to the random number table method,36 cases in each group respectively. Both groups were given intervention with routine treatment and nursing,and the experiment group was additionally given oral administration of Qianjin Weijing tang combined with oral nursing with Chinese herbal gargle. Both groups were continually treated for 21 days. The clinical effect and the recurrence rate of pulmonary infection one month after treatment were compared in the two groups. The changes in the number of pathogenic bacteria in pars oralis pharynges before and after treatment in the two groups were observed. Results:After treatment,the total effective rate was 91.67% in the test group,and 66.67% in the control group,the difference being significant(P<0.01).The number of bacteria in pars oralis pharynges in the two groups were decreased when compared with those before treatment,and the number in the test group was less than that in the control group,differences being significant(P<0.05). In the second month after treatment,there was no significant difference being found in the comparison of the recurrence rate of pulmonary infection between the two groups(P>0.05). Conclusion:Based on routine treatment and nursing,the additional use of oral administration of Qianjin Weijing tang combined with oral nursing with Chinese herbal gargle can reduce the number of oral bacteria, thereby it can effectively reduce the rate of pulmonary infection induced by the translocation of bacteria,with definite clinical effect.

关 键 词：肺部感染 多重耐药菌 痰热蕴肺证 中西医结合疗法 千金苇茎汤 含漱液 

分 类 号：R563.1[医药卫生—呼吸系统]