集束化预防策略联合改良浓度配比口腔护理液对重症脑卒中机械通气患者呼吸机相关性肺炎的预防作用  

Preventive effect of cluster prevention strategy combined with modified concentration ratio oral care solution on ventilator associated pneumonia in patients with severe stroke undergoing mechanical ventilation

作　　者：郭明 栾成艳 来海欧 GUO Ming;LUAN Chengyan;LAI Hai'ou(Ankang Central Hospital,Ankang 725000;Xianyang Hospital of Yan'an University,Xianyang 712000,China)

机构地区：[1]安康市中心医院,陕西安康725000 [2]延安大学咸阳医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第9期157-160,共4页Clinical Research and Practice

基　　金：2020年度延安大学咸阳医院科学研究基金项目(No.2020ZX027)。

摘　　要：目的探讨集束化预防策略联合改良浓度配比口腔护理液对重症脑卒中机械通气患者呼吸机相关性肺炎(VAP)的预防作用。方法选取2020年1月至2022年1月收治的100例重症脑卒中机械通气患者为研究对象,根据随机数字表法将其分为对照组和观察组,各50例。对照组采用常规护理干预,观察组在对照组干预基础上采用集束化预防策略联合改良浓度配比口腔护理液护理。比较两组的干预效果。结果干预后,观察组的口腔清洁度优于对照组(P<0.05)。观察组的VAP发生率、撤机失败率低于对照组,机械通气时间、ICU住院时间短于对照组(P<0.05)。干预后,观察组的动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。结论集束化预防策略联合改良浓度配比口腔护理液有助于减少重症脑卒中机械通气患者VAP发生,缩短机械通气时间、ICU住院时间,改善血气指标,值得推广。Objective To investigate the preventive effect of cluster prevention strategy combined with modified concentration ratio oral care solution on ventilator associated pneumonia(VAP)in patients with severe stroke undergoing mechanical ventilation.Methods A total of 100 patients with severe stroke undergoing mechanical ventilation admitted from January 2020 to January 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given cluster prevention strategy combined with modified concentration ratio oral care solution on the basis of intervention in the control group.The intervention effects of the two groups were compared.Results After intervention,the oral cleanliness of the observation group was better than that of the control group(P<0.05).The incidence of VAP and the failure rate of weaning in the observation group were lower than those in the control group,and the mechanical ventilation time and ICU hospitalization time were shorter than those in the control group(P<0.05).After intervention,the arterial partial pressure of oxygen(PaO_(2))and oxygen saturation(SaO_(2))in the observation group were higher than those in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group(P<0.05).Conclusion The cluster prevention strategy combined with modified concentration ratio oral care solution can help to reduce the incidence of VAP in patients with severe stroke undergoing mechanical ventilation,shorten the mechanical ventilation time and ICU hospitalization time,and improve the blood gas indexes,which is worthy of promotion.

关 键 词：集束化预防策略 改良浓度配比口腔护理液 重症脑卒中 机械通气 呼吸机相关性肺炎 

分 类 号：R473.74[医药卫生—护理学]