冲洗法结合牙刷刷洗法在气管切开患者口腔护理中的应用效果  

Application effect of irrigation combined with tooth-brushing in oral nuring of patients with tracheotomy

作　　者：叶琴[1] 顾媛[1] 杨秀华[1] 郭莲仪 卢宁艳 杨蓉[1] YE Qin;GU Yuan;YANG Xiu-hua;GUO Lian-yi;LU Ning-yan;YANG Rong(The Second Department of Neurosurgery,the First Affiliated Hospital of Kunming Medical University,Yunnan Province,Kunming650000,China)

机构地区：[1]昆明医科大学第一附属医院神经外二科,云南昆明650000

出　　处：《中国当代医药》2020年第13期212-214,共3页China Modern Medicine

基　　金：昆明医科大学第一附属院院内护理科研基金(2017HL03Y)。

摘　　要：目的探讨冲洗法结合牙刷刷洗法在气管切开患者口腔护理中的应用效果。方法选取2017年9月~2019年5月我院收治的130例气管切开患者作为研究对象,按随机数字表法分为对照组和实验组,每组各65例。对照组采用棉球擦拭法,实验组采用冲洗法和牙刷刷洗法结合,比较两组的口腔臭味、口腔炎、口腔细菌感染的发生率和口腔护理时间。结果口腔护理后第3、7天,实验组口腔细菌感染发生率分别为23.08%和9.23%,口腔炎发生率分别为18.46%和12.31%,口腔臭味发生率分别为10.78%和7.69%,口腔护理后第3、7天对照组口腔细菌感染发生率分别为35.38%和15.38%,口腔炎发生率分别为20.00%和23.08%,口腔臭味发生率分别为24.62%和20.00%,实验组口腔细菌感染、口腔炎和口腔臭味发生率低于对照组,差异均有统计学意义(P<0.05)。实验组口腔护理时间为(6.12±1.82)min,对照组口腔护理时间为(7.25±2.55)min,实验组口腔护理时间短于对照组,差异有统计学意义(P<0.05)。结论冲洗法结合刷牙口腔护理方法,有利于降低口臭和口腔炎及口腔细菌感染发生率,缩短口腔护理时间,可有效提高气管切开患者的口腔护理质量和护理效率,值得临床应用。Objective To explore the application effect of the method of irrigation combined with tooth-brushing in oral nursing of patients with tracheotomy.Methods A total of 130 cases of tracheotomy in our hospital from September 2017 to May 2019 were selected as the research objects,they were divided into control group and experiment group according to random number table method,65 cases in each group.The control group was given traditional oral nursing,the experimental group was given irrigation combined with tooth-brushing.The incidence rate of halitosis,oral inflammation,oral bacteria infection,oral nursing time in two groups were compared.Results The incidence rates of oral bacteria infection after 3 and 7 days oral nuring in the experimental group were 23.08%and 9.23%respectively,the incidence rates of oral inflammation were 18.46%and 12.31%respectively,the incidence rates of halitosis were 10.78%and 7.69%respectively,while the incidence rates of oral bacteria infection after 3 and 7 days oral nuring in the control group were 35.38%and 15.38%respectively,the incidence rates of oral inflammation were 20.00%and 23.08%respectively,the incidence rates of halitosis were 24.62%and 20.00%respectively,the experimental group of patients with oral bacteria infection,oral inflammation and halitosis were lower than those of the control group,the differences were statistically significant(P<0.05).The oral nursing time of the experimental group was(6.12±1.82)min,while the control group was(7.25±2.55)min,the experimental group of oral nursing time was shorter than that of the control group,the difference was statistically significant(P<0.05).Conclusion Irrigation combined with tooth-brushing is beneficial to reduce halitosis and oral inflammation and oral bacteria infection in the experimental group,the experimental group can improve the quality of oral nursing in patients with tracheotomy effectively and shorten oral nursing time.It can improve the treatment effect and nursing efficiency and is worthy of application.

关 键 词：冲洗法结合牙刷刷洗法 口腔炎 口臭 口护时间 口腔细菌 应用效果 

分 类 号：R472[医药卫生—护理学]