以口腔pH值为导向的护理对口腔癌患者术后感染的影响  

Effect of oral pH guided nursing on postoperative infection in patients with oral cancer

作　　者：李妍 吴福丽[1] 陶璐璐 谭家娟 叶颖 LI Yan;WU Fuli;TAO Lulu;TAN Jiajuan;YE Ying(Department of Oral and Maxillofacial Surgery,the Affiliated Stomatological Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属口腔医院口腔颌面外科病区,江苏南京210029

出　　处：《医药高职教育与现代护理》2023年第4期304-308,共5页Medical Higher Vocational Education and Modern Nursing

基　　金：江苏省科教能力提升工程—江苏省研究型医院建设单位(YJXYYJSDW4);江苏省医学创新中心(CXZX202227)。

摘　　要：目的探讨以口腔pH值为导向的护理措施对口腔癌患者术后感染的影响。方法采用便利抽样法,选择2019年9月至2021年6月南京医科大学附属口腔医院收治的口腔癌手术患者160例为研究对象,其中2019年9月至2020年7月的80例为对照组,2020年8月至2021年6月的80例为观察组。对照组采用生理盐水作为口腔护理液实施常规口腔护理;观察组实施基于口腔pH值为导向的护理措施,比较两组患者不同时间点口腔pH值变化情况、术后第7天口腔异味及感染发生率、口腔舒适度状况、整体住院时间。结果两组患者入院时及术后第1天口腔pH值比较差异无统计学意义(P>0.05);两组患者术后第1天口腔pH值较入院时均降低,呈酸性;干预1周后:观察组口腔pH值高于对照组,恢复至正常值范围。观察组患者口腔感染及异味发生率低于对照组、口腔舒适度水平高于对照组、住院周期短于对照组,差异均有统计学意义(均P<0.05)。结论以口腔pH值为导向的护理措施能纠正口腔癌患者术后异常的口腔环境,降低口腔感染率、提高患者舒适度、促进患者快速康复。Objective To explore the impact of oral pH guided nursing measures on postoperative infections in oral cancer patients.Methods Convenient sampling method was used to select 160 patients with oral cancer surgery admitted to the Affiliated Stomatological Hospital of Nanjing Medical University from September 2019 to June 2021 as the study subjects.Among them,80 patients from September 2019 to July 2020 were selected as the control group,and 80 patients from August 2020 to June 2021 were selected as the observation group.The control group received routine oral care using physiological saline as oral care solution;the observation group implemented oral pH guided nursing measures,and compared the changes in oral pH values at different time points,the incidence of oral odor and infection on the seventh day after surgery,oral comfort status,and overall hospital stay between the two groups of patients.Results There were no significant differences in oral pH between the two groups on admission and on the first postoperative day(P>0.05);the first postoperative day oral pH in both groups decreased compared to that at admission and was acidic;one week after intervention:the oral pH of the observation group was higher than that of the control group and returned to the normal value range.The patients in the observation group had lower incidence of oral infection and off flavor than the control group,higher level of oral comfort than the control group,and shorter hospitalization period than the control group.All differences were considered statistically significant(P<0.05).Conclusions Oral pH oriented care measures could correct the abnormal postoperative oral environment of patients with oral cancer,reduce the rate of oral infection,improve patient comfort,and promote rapid patient recovery.

关 键 词：口腔癌 口腔PH值 口腔护理 口腔感染 

分 类 号：R473.73[医药卫生—护理学]