含漱液口腔护理在住院鼻饲患者中的应用效果  

Application effect of oral care with gargle in nasally fed inpatients

作　　者：薛红玉 徐慧竹 徐建秀 XUE Hongyu;XU Huizhu;XU Jianxiu(Department of Cardiopulmonary Rehabilitation,Jiangsu Rongjun Hospital,Jiangsu,Wuxi 214000,China)

机构地区：[1]江苏省荣军医院心肺康复科,江苏无锡214000

出　　处：《中国医药科学》2023年第11期132-135,共4页China Medicine And Pharmacy

基　　金：江苏省荣军医院2020年度院级课题(YKT2020005)。

摘　　要：目的研究含漱液口腔护理在住院鼻饲患者中的应用效果。方法选择2020年1月至2021年1月在江苏省荣军医院接受鼻饲营养的90例患者作为研究对象,采用随机数表法将其分为西吡氯铵护理组(n=30)、洗必泰护理组(n=30)和对照组(n=30)。对照组患者采用生理盐水完成口腔护理,西吡氯铵护理组与洗必泰护理组分别采用西吡氯铵含漱液、洗必泰含漱液完成口腔护理。比较三组患者口腔清洁效果、口腔疾病及肺部感染发生率、血清炎性指标差异。结果西吡氯铵护理组、洗必泰护理组护理后的口腔清洁评分高于对照组,口臭程度评分低于对照组,差异有统计学意义(P<0.05);西吡氯铵护理组、洗必泰护理组的口腔溃疡、咽喉肿痛、口腔细菌阳性、坠积性肺炎、其他肺部感染发生率低于对照组,差异有统计学意义(P<0.05);西吡氯铵护理组、洗必泰护理组护理后的白介素(IL)-6、IL-8、肿瘤坏死因子-α(TNF-α)水平低于对照组,差异有统计学意义(P<0.05)。而西吡氯铵护理组与洗必泰护理组护理后各指标比较,差异无统计学意义(P>0.05)。结论在住院鼻饲患者群体中使用西吡氯铵含漱液与洗必泰含漱液完成口腔护理能有效提升患者口腔清洁效果,对降低患者坠积性肺炎等肺部感染发生率、口腔疾病发生率均有积极作用,可减轻患者炎症反应,值得临床推广。Objective To study the application effect of oral care with gargle in nasally fed inpatients.Methods A total of 90 patients who received nasal feeding nutrition at Jiangsu Rongjun Hospital from January 2020 to January 2021 were selected as the study subjects and divided into a cetylpyridinium chloride care group(n=30),a chlorhexidine care group(n=30)and a control group(n=30)according to the random number table method.The control group received oral care with normal saline,while the cetylpyridinium chloride care group and the chlorhexidine care group received oral care with cetylpyridinium chloride gargle and chlorhexidine gargle respectively.The differences in oral cleaning effect,the incidence of oral diseases and pulmonary infections,and serum inflammatory indicators were compared among the three groups.Results After care,the oral cleaning scores were higher,while halitosis degree scores were lower in the cetylpyridinium chloride care group and the chlorhexidine care group than in the control group,with statistically significant differences(P<0.05).The incidences of oral ulcers,sore throat,positive oral bacteria and hypostatic pneumonia and other pulmonary infections in the cetylpyridinium chloride care group and the chlorhexidine care group were lower than those in the control group,with stat istically significant differences(P<0.05).In addition,the levels of interleukin(IL)-6,IL-8 and tumor necrosis factor-α(TNF-α)in the cetylpyridinium chloride care group and the chlorhexidine care group were lower than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in various indicators between the cetylpyridinium chloride nursing group and the chlorhexidine nursing group after nursing(P>0.05).Conclusion Oral care with cetylpyridinium chloride gargle and chlorhexidine gargle in nasally fed inpatients can effectively improve the oral cleaning effect,reduce the incidence of pulmonary infections such as hypostatic pneumonia and oral diseases,and

关 键 词：口腔护理 西吡氯铵含漱液 洗必泰含漱液 鼻饲 肺部感染 

分 类 号：R781.5[医药卫生—口腔医学]