110例卒中患者口腔感染情况及影响因素分析  

Analysis of oral infection status and influencing factors in 110 patients with stroke

作　　者：王旭[1] 许玲[2] 练敏[2] 张建薇[1] 王路遥 王芹 WANG Xu;XU Ling;LIAN Min;ZHANG Jian-wei;WANG Lu-yao;WANG Qin(Department of Geriatrics,Drum Tower Hospital Affiliated to Medical School of Nanjing University,Jiangsu Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院老年科,南京210000 [2]南京大学医学院附属鼓楼医院护理部,南京210000

出　　处：《中华老年口腔医学杂志》2022年第1期42-46,共5页Chinese Journal of Geriatric Dentistry

基　　金：江苏省卫生健康委科研基金(项目编号:BJ18009)江苏省干部保健科研项目(项目编号:BJ15008)南京大学鼓楼医院科研课题(项目编号:ZSA638)。

摘　　要：目的:调查卒中患者的口腔感染情况及分析影响因素。方法:按照纳入标准,利用自制调查问卷对2018年3月-2020年3月间南京大学医学院附属鼓楼医院接收的115例卒中患者的口腔感染状况进行了调查,应用二分类logistic回归分析卒中患者的口腔感染因素。结果:回收有效问卷110份,有效率为95.65%。110例卒中患者检出口腔感染26例,感染率为23.6%。单因素分析结果显示,病程(月)、口腔护理频率、口腔护理方法、有无糖尿病、有无经口胃管、生活能否自理、是否使用抗生素与发生口腔感染存在相关关系(均P<0.05)。logistic回归分析结果表明,病程>6个月(OR=3.448)、合并糖尿病(OR=3.306)、口腔擦洗护理法(OR=1.925)、经口胃管(OR=2.989)、生活不能自理(OR=2.754)和使用抗生素(OR=4.886)为卒中患者发生口腔感染的危险因素(P<0.05),而口腔护理频率(≥2次/天)(OR=0.294)、擦洗法结合冲洗法护理(OR=0.440)和口腔机械护理法(OR=0.275)为预防口腔感染的保护因素(均P<0.05)。结论:卒中患者口腔感染不可忽视,尤其是病程>6个月、合并糖尿病、经口胃管、生活不能自理、使用抗生素的卒中患者。Objective:To investigate the oral infection of stroke patients and analysis of influencing factors.Methods:From March 2018 and March 2020,115 stroke patients received by the Drum Tower Hospital Affiliated to Medical School of Nanjing University were selected as survey subjects and a self-made health questionnaire were used to investigate their oral infection status.Binary logistic regression analysis was used to statistically analyze the survey results.Results:110 effective questionnaires were recovered,and the effective percentage was 95.65%.In 110 stroke patients,26 oral infections were detected,and the infection rate was 23.6%.Univariate analysis showed that different ages,duration of illness(months),oral care frequency,oral care methods,the presence or absence of diabetes,the presence or absence of oral gastric tube,the ability to take care of themselves,and the presence or absence of antibiotics were related to the occurrence of oral infections(P<0.05).Logistic regression analysis showed that the illness time>6 months(OR=3.448),diabetes mellitus(OR=3.306),nursing of scrub oral cavity(OR=1.925),oral gastric tube(OR=2.989),unable to take care of themselves(OR=2.754)and using antibiotics(OR=4.886)were significant risk factors for oral infection in stroke patients(P<0.05),while the frequency of oral nursing(≥2 times/day)(OR=0.294),scrubbing combined with washing care(OR=0.440),oral mechanical nursing method(OR=0.275)were protective factors for stroke patients to prevent oral infections(P<0.05).Conclusions:The oral infection of stroke patients should not be ignored,especially the patients with stroke who were illness time>6 months,diabetes mellitus,oral gastric tube,unable to take care of themselves and using antibiotics.

关 键 词：卒中 口腔感染 现状调查 因素分析 

分 类 号：R473.74[医药卫生—护理学]