三合一口腔冲洗法在重症监护室经口气管插管患者口腔护理中的应用  

Application of Three-in-One Oral Irrigation Method in Oral Care of Patients with Orotracheal Intubation in Intensive Care Unit

作　　者：杨宝义 汪蓉 马小芳 曹蕾 Yang Baoyi;Wang Rong;Ma Xiaofang;Cao Lei(Taihe Hospital of Shiyan City,Affiliated Hospital of Hubei University of Medicine,Shiyan Hubei 442000,China)

机构地区：[1]十堰市太和医院·湖北医药学院附属医院,湖北十堰442000

出　　处：《医疗装备》2023年第24期108-111,共4页Medical Equipment

基　　金：十堰市科学技术局引导性科研项目(21Y35)。

摘　　要：目的探讨集冲、擦、洗于一体的三合一口腔冲洗法在重症监护室(ICU)经口气管插管患者口腔护理中的应用效果。方法采用便利抽样法选取2022年1—6月于十堰市太和医院ICU行经口气管插管的100例危重患者为研究对象,按照随机数字表法分为对照组和观察组,各50例。对照组采用常规口腔护理,观察组在对照组基础上采用三合一口腔冲洗法进行口腔护理。比较两组经口气管插管当天、插管后3 d和插管后5 d的口腔清洁效果(口腔异味及牙菌斑指数评分)及口腔并发症发生情况。结果对照组插管后3、5 d的口腔异味及牙菌斑指数评分均高于插管当天,差异有统计学意义(P<0.05);观察组插管后3、5 d的口腔异味及牙菌斑指数评分均低于插管当天,差异有统计学意义(P<0.05);观察组插管后3、5 d的口腔异味及牙菌斑指数评分均低于对照组,差异有统计学意义(P<0.05)。观察组口腔并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论集冲、擦、洗于一体的三合一口腔冲洗法可有效提升ICU经口气管插管患者口腔清洁效果,降低口腔溃疡、口腔内黏膜出血等并发症发生风险。Objective To explore the application effect of the three-in-one oral irrigation method that integrates flushing,wiping,and washing in the oral care of patients with orotracheal intubation in the intensive care unit(ICU).Methods With the use of convenience sampling method to select 100 critically ill patients with orotracheal intubation in the ICU of Taihe Hospital of Shiyan City from January to June 2022 as the research subjects,they were randomly divided into the control group and the observation group,with 50 cases in each group,by using the random number table method.With the control group receiving routine oral care,and the observation group receiving oral care with the three-in-one oral irrigation method on the basis of the control group,the oral cleaning effect(oral odor and plaque index scores)on the day of orotracheal intubation,3 days after intubation,and 5 days after intubation and incidence of oral complications were compared between two groups.Results The oral odor and plaque index scores of the control group at 3 and 5 days after intubation were higher than that on the day of intubation,and the differences were statistically significant(P<0.05);The oral odor and plaque index scores of the observation group at 3 and 5 days after intubation were lower than that on the day of intubation,and the differences were statistically significant(P<0.05);The oral odor and plaque index scores of the observation group at 3 and 5 days after intubation were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of oral complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The three-in-one oral irrigation method that integrates flushing,wiping,and washing can effectively improve the oral cleaning effect of ICU patients with orotracheal intubation,and reduce the risk of complications such as oral ulcers and mucosal bleeding in the oral cavity.

关 键 词：重症监护室 气管插管 口腔护理 三合一口腔冲洗法 

分 类 号：R47[医药卫生—护理学]