无糖可乐联合氯己定漱口液负压冲洗在气管插管患者口腔护理中的应用  

Application of diet coke combined with chlorhexidine gargle negative pressure washing in oral care of patients with tracheal intubation

作　　者：王青梅 陈梅 陈萍 高健[1] WANG Qingmei;CHEN Mei;CHEN Ping;GAO Jian(Nursing Department,the Affiliated Huai an No.1 Hospital of Nanjing Medical University,Huai an,Jiangsu 223300,China)

机构地区：[1]南京医科大学附属淮安市第一医院护理部,江苏淮安223300

出　　处：《中国临床研究》2023年第9期1434-1437,共4页Chinese Journal of Clinical Research

摘　　要：目的探讨无糖可乐联合氯己定漱口液在神经内科重症监护病房气管插管患者口腔护理中的应用效果。方法选取2019年10月至2022年10月淮安市第一人民医院神经内科重症监护病房收治的110例气管插管患者作为研究对象,采用随机数字表法分为对照组(55例)和观察组(55例)。对照组采用常规口腔护理(生理盐水棉球擦拭)。观察组采用无糖可乐联合氯己定漱口液进行负压冲洗。比较两组实施口腔护理后呼吸机相关性肺炎(VAP)发生率、改良Beck口腔评分、机械通气时间、ICU住院时间。结果实施口腔护理后,观察组患者VAP发生率低于对照组,差异有统计学意义[9.09%(5/55)vs 32.73%(18/55),χ^(2)=9.29,P<0.05]。Beck口腔评分观察组低于对照组,差异有统计学意义(P<0.05),ICU住院时间低于对照组[(7.71±0.66)d vs(12.00±0.72)d,P<0.05]、机械通气时间低于对照组[(5.82±0.77)d vs(8.36±0.73)d,P<0.05]。结论无糖可乐联合氯己定漱口液负压冲洗,能够提高口腔卫生状况、降低VAP发生率,缩短ICU住院时间及机械通气时间。Objective To explore the effect of diet coke combined with chlorhexidine gargle in oral care of tracheal intubation patients in Neurology ICU.Methods From October 2019 to October 2022,110 patients with tracheal intubation who were admitted to the Neurology Intensive Care Unit of Huai an First People s Hospital were selected as the research object.The patients were randomly divided into control group and observation group(n=55,each).The control group received routine oral care(wiping with saline cotton balls).In the observation group,the diet coke combined with chlorhexidine gargle was used for negative pressure washing.The incidence of ventilator-associated pneumonia(VAP),improved Beck oral score,mechanical ventilation time,and ICU hospitalization time between two groups were compared after implementing oral care.Results After implementing oral care,the incidence of VAP in the intervention group was lower than that in the control group[9.09%(5/55)vs 32.73%(18/55),χ^(2)=9.29,P<0.05].Compared with the control group,the observation group had lower Beck oral score(P<0.05),ICU hospitalization time[(7.71±0.66)d vs(12.00±0.72)d,P<0.05],and mechanical ventilation time[(5.82±0.77)d vs(8.36±0.73)d,P<0.05].Conclusion Diet coke combined with chlorhexidine mouthwash under negative pressure can improve oral hygiene,reduce the incidence of VAP,and shorten the hospital stay and mechanical ventilation time in ICU.

关 键 词：无糖可乐 氯己定 负压冲洗 气管插管 口腔护理 

分 类 号：R473.78[医药卫生—护理学]