改良Beck口腔评分应用在ICU经口气管插管呼吸机患者的效果  

Effect of Improved Beck Oral Scoring System for ICU Patients with Oral Tracheal Intubation and Mechanical Ventilation

作　　者：仇瑷颖 QIU Aiying(Yangzhou Dongfang Hospital of Jiangsu,Yangzhou,Jiangsu 225000)

机构地区：[1]江苏省扬州东方医院,江苏扬州225000

出　　处：《智慧健康》2024年第8期184-187,共4页Smart Healthcare

摘　　要：目的探讨改良Beck口腔评分应用在重症加强护理病房(ICU)经口气管插管呼吸机患者的效果。方法将2020年9月—2022年9月本院收治的59例ICU经口气管插管呼吸机患者作为研究对象,按照随机数字表法分为两组,传统组(29例)接受常规护理干预,改良组(30例)在传统组的基础上联合改良Beck口腔评分,观察两组患者口腔异味发生率、口腔卫生情况及并发症的发生情况。结果干预1d、3d、5d后改良组口腔异味评分低于传统组(P<0.05);干预3d、5d后,两组口臭、菌斑指数和软垢指数均有所改善,且改良组低于传统组(P<0.05);改良组并发症(牙龈出血、误吸、口腔溃疡、呼吸机肺炎)发生率低于传统组(P<0.05)。结论应用改良Beck口腔评分可有效地改善ICU经口气管插管呼吸机患者的口腔卫生状况,减轻口腔异味,降低并发症。Objective To explore effect of improved Beck oral scores for critically ill intensive care unit(ICU)patients with oral tracheal intubation and ventilation.Methods The paper chose 59 ICU patients with oral tracheal intubation and ventilator admitted to our hospital from September 2020 to September 2022 as study subjects,and divided them into two groups with random number table method.29 cases in traditional group were treated with routine nursing intervention,while 30 cases in improvement group with improved Beck oral cavity scores based o n traditional group.Incidence of oral odor,oral hygiene,and incidence of complications were observed between two groups groups.Results After 1 day,3 days,and 5 days of intervention,oral odor scores of improvement group was lower than traditional group(P<0.05).After 3 and 5 days of intervention,both groups showed improvement in bad breath,plaque index,and soft scale index,that of improvement group was lower than traditional group(P<0.05).Incidence of complications(gingival bleeding,aspiration,oral ulcers,and ventilatorassociated pneumonia)in improvement group was 2/30(6.66%),lower than traditional group 9/29(31.01%)(P<0.05).Conclusion Improved Beck oral scores can improve oral hygiene status of ICU patients with tracheal intubation and ventilator effectively,c an reduce oral odor and complications.

关 键 词：改良Beck口腔评分 重症加强护理病房 经口气管插管呼吸机 口腔卫生 

分 类 号：R47[医药卫生—护理学]