气囊上滞留物清除对经口气管插管患者VAP预防的效果观察  

Observation on the effect of removal of retained substances on prevention of VAP in patients with orotracheal intubation

作　　者：陈晶晶 王俊[1] 王玉龙 黄蕾 耿丽 CHEN Jing-jing;WANG Jun;WANG Yu-long(The First Affiliated Hospital of USTC,University of Science and Technology of China,Hefei 230036,Anhui)

机构地区：[1]中国科学技术大学附属第一医院,安徽合肥230036

出　　处：《安徽医专学报》2022年第4期133-134,共2页Journal of Anhui Medical College

基　　金：中国科学院临床研究医院(合肥)“新型冠状病毒感染应急科技攻关”专项项目(编号:YD9110002005)。

摘　　要：目的:探讨经口气管插管患者口腔护理前行气流冲击法清除气囊上滞留物对预防呼吸机相关性肺炎(VAP)的效果。方法:将ICU收治的60例经口气管插管行机械通气的患者按照随机信封法分组分为对照组与观察组,各30例。两组患者均采用冲吸式牙刷进行口腔护理,观察组患者在口腔护理前先进行气流冲击法清除气囊上分泌物,两组患者VAP发生率进行对比。结果:观察组患者VAP发生率低于对照组(P<0.05)。结论:经口气管插管患者在口腔护理前进行气流冲击法能够有效减少口腔护理过程中口咽部及气囊上滞留物,降低VAP发生率。Objective:To investigate the effect of air blast method in the prevention of ventilator-associated pneumonia(VAP)in patients with orotracheal intubation before oral nursing.Methods:60 patients with mechanical ventilation by tracheal intubation in ICU were randomly divided into control group and observation group,30 cases in each group.Two groups of patients were treated with oral care with suction toothbrush,the observation group was treated with air impact method to remove the secretion on the air bag before oral care,and the incidence of VAP was compared between the two groups.Results:the incidence of VAP in the observation group was much lower than that in the control group(P<0.05).Conclusion:the method of air impact before oral care for patients with orotracheal intubation can effectively reduce the retention of oropharynx and air bag in the process of oral care,and reduce the incidence of VAP.

关 键 词：经口气管插管 口腔护理 气流冲击法 气囊上滞留物 呼吸机相关性肺炎 

分 类 号：R473.5[医药卫生—护理学]