中药漱口液对脑卒中鼻饲患者口腔并发症的预防效果观察  

Observation on preventive effect of traditional Chinese medicine gargle on oral complications in stroke patients with nasal feeding

作　　者：李佳星 孙志萍[1] LI Jia-xing;SUN Zhi-ping(Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin(300120),China)

机构地区：[1]天津市中医药研究院附属医院,天津300120

出　　处：《中国中西医结合外科杂志》2024年第4期553-556,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市卫生健康委员会中医、中西医结合科研课题(2021181)。

摘　　要：目的:探讨中药漱口液在脑卒中鼻饲患者口腔护理中的应用效果。方法:选取2022年10月—2023年9月入住天津市中医药研究院附属医院确诊为脑卒中并留置胃管的60例患者作为研究对象。按照随机数字表法将其分为试验组和对照组,各30例,对照组采用生理盐水进行口腔护理,试验组采用中药漱口液进行口腔护理,比较两组患者的口腔溃疡发生率、口腔感染发生率、口腔pH值和口臭指数。结果:试验组患者口腔溃疡、口腔感染发生率降低,口腔pH值干预7 d后效果不显著,干预14 d后pH趋于正常水平,口臭指数明显降低,与对照组比较,差异具有统计学意义(P<0.05)。结论:中药漱口液可降低脑卒中鼻饲患者口腔溃疡及感染的发生率,稳定口腔pH值,缓解口臭症状。Objective To explore the effect of Traditional Chinese medicine gargle in the oral care of stroke patients with nasal feeding.Methods Patients with stroke who were admitted to a third grade first class hospital of traditional Chinese medicine in Tianjin from October to September 2023 were selected by convenient sampling 2022.According to the method of random number table,the patients were divided into experimental group and control group with 30 cases in each group.The control group was given oral nursing with normal saline,while the experimental group was given oral nursing with Traditional Chinese medicine gargle.The incidence of oral ulcer,oral infection,oral pH and halitosis index were compared between the two groups.Results The results showed that the incidences of oral ulcer and oral infection in the experimental group were lower than those in the control group.The effect of oral pH intervention was not significant after 7 days,but after 14 days,the level of pH tended to normal and the index of halitosis was significantly decreased,compared with the control group,the difference was statistically significant(P<0.05).Conclusion The Traditional Chinese medicine gargle can reduce the incidence of oral ulcer and infection,stabilize oral pH,and alleviate the symptoms of halitosis in stroke patients.

关 键 词：中药漱口液 脑卒中 鼻饲 口腔并发症 

分 类 号：R255.2[医药卫生—中医内科学]