基于“湿热”理论探讨清热祛湿方对机械通气患者口腔护理的效果  

Based on the theory of"dampness and heat"to explore the effect of Qingre Qushi Prescription on oral care of patients with mechanical ventilation

作　　者：解晓光 胡媛芝 郑晓静 马国华 杨艳 XIE Xiaoguang;HU Yuanzhi;ZHENG Xiaojing;MA Guohua;YANG Yan(Department of Critical Care Medicine,Luohu Hospital of Traditional Chinese Medicine,Guangdong Province,Shenzhen518001,China;Department of Spring Breeze Surgery,Luohu People's Hospital,Guangdong Province,Shenzhen518001,China;Department of Nursing,Luohu Hospital of Traditional Chinese Medicine,Guangdong Province,Shenzhen518001,China)

机构地区：[1]深圳市罗湖区中医院重症医学科,广东深圳518001 [2]深圳市罗湖区人民医院春风外科,广东深圳518001 [3]深圳市罗湖区中医院护理部,广东深圳518001

出　　处：《中国当代医药》2022年第33期189-192,共4页China Modern Medicine

基　　金：广东省深圳市罗湖区软科学研究计划项目(LX20201320)。

摘　　要：目的探讨基于“湿热”理论的基础对危重症进行机械通气患者应用清热祛湿方的临床效果。方法选取深圳市罗湖区中医院2020年7月至2022年6月收治的80例机械通气患者,按随机抽样法分为试验组和对照组,每组各40例,试验组采用清热祛湿方口腔护理,对照组采用氯己定口腔护理,观察并比较两组呼吸机相关性肺炎(VAP)发生率、口腔情况及并发症等情况。结果试验组患者干预后的口腔清洁度优于对照组,差异有统计学意义(P<0.05);试验组患者干预后的牙菌斑指数、口腔真菌感染率低于对照组,牙菌斑清除率与pH值高于对照组,差异有统计学意义(P<0.05);试验组患者的VAP发生率低于对照组,机械通气时间、ICU住院时间短于对照组,差异有统计学意义(P<0.05);试验组患者干预后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论清热祛湿方可以一定程度上预防急危重症行机械通气患者口腔并发症,降低VAP的发生率。Objective To explore the clinical effect of Qingre Qushi Prescription in critically ill patients undergoing mechanical ventilation based on the theory of"damp heat".Methods A total of 80 mechanically ventilated patients admitted to Shenzhen Luohu District Hospital of Traditional Chinese Medicine from July 2020 to June 2022 were selected as research objects.They were divided into experimental group and oral care group control group by random sampling method,with 40 cases in each group.The experimental group was treated with Qingre Qushi Prescription for oral care,while the control group was treated with chlorhexidine for oral care.The incidence of ventilator associated pneumonia(VAP),detection rate of oral fungi and complications in the two groups were observed and compared.Results The oral cleanliness of experimental group was better than that of control group after intervention,and the difference was statistically significant(P<0.05).After intervention,the plaque index and oral fungal infection rate of experimental group were lower than those of control group,and the plaque clearance rate and pH value of experimental group were higher than that of control group,and the differences were statistically significant(P<0.05).The incidence of VAP in experimental group was lower than that in control group,and the duration of mechanical ventilation and ICU stay was shorter than that in control group,and the differences were statistically significant(P<0.05).The complication rate of experimental group was lower than that of control group after intervention,and the difference was statistically significant(P<0.05).Conclusion Qingre Qushi Prescription can prevent oral complications in critically ill patients undergoing mechanical ventilation to a certain extent,and reduce the incidence of VAP.

关 键 词：“湿热”理论 清热祛湿方 机械通气 口腔护理 

分 类 号：R473.78[医药卫生—护理学]