大青叶联合口腔护理对高血压脑出血鼻饲患者口腔溃疡及口腔菌斑的影响  

Effects of folium isatidis combined with oral care on oral ulcer and oral plaque in patients with hypertensive cerebral hemorrhage by nasal feeding

作　　者：李芸 王丽 马颖君[1] 王洪干[1] Li Yun;Wang Li;Ma Yingjun;Wang Honggan(Inpatient Neurosurgery NICU,Wuxi People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市人民医院住院部神经外科NICU,无锡214000

出　　处：《国际护理学杂志》2024年第16期2898-2902,共5页international journal of nursing

基　　金：无锡市软科学研究课题项目(编号:KX-21-B48)。

摘　　要：目的研究大青叶联合口腔护理对高血压脑出血鼻饲患者口腔溃疡及口腔菌斑的影响。方法选取2019年10月至2021年11月无锡市人民医院NICU收治的142例高血压脑出血鼻饲患者作为研究对象,采用随机数表法进行分组,用不透光的信封进行分配隐藏,将患者分为对照组、研究组,各71例。对照组采用口腔护理,而研究组采用大青叶联合口腔护理,对比两组的护理前、护理1周的牙菌斑指数、口腔分泌物细菌菌落数、Beck口腔评分,同时对比两组的口腔不良情况(口臭、口腔黏膜白斑、口唇干裂、口腔溃疡)发生率、肺部感染发生率和口腔清洁度。结果护理1周,研究组的牙菌斑指数、Beck口腔评分均低于对照组,其口腔分泌物细菌菌落数少于对照组,差异均有统计学意义(均P<0.05);研究组的口臭(8.45%)、口腔黏膜白斑(2.82%)、口腔溃疡(1.41%)、口唇干裂(9.86%)和肺部感染(0.00%)发生率均低于对照组(21.13%、12.68%、23.94%、9.86%、7.04%),差异均有统计学意义(均P<0.05);护理1周,研究组的口腔黏膜、牙面、牙缝、舌面、颊部、硬腭清洁度均高于对照组,差异均有统计学意义(均P<0.05)。结论在高血压脑出血鼻饲患者中采用大青叶联合口腔护理,能有效预防口腔溃疡和肺部感染,降低口腔牙菌斑指数,改善口腔状况,提高口腔清洁度。ObjectiveTo study the effects of folium isatidis combined with oral nursing on oral ulcer and oral plaque in patients with hypertensive cerebral hemorrhage by nasal feeding.MethodsA total of 142 patients with hypertensive cerebral hemorrhage by nasal feeding admitted to NICU of Wuxi People's Hospital from October 2019 to November 2021 were selected as the research objects.The patients were divided into control group and study group by random number table method,and the patients were allocated and hidden with opaque envelopes,with 71 cases in each group.The control group was treated with oral care,while the study group was treated with folium isatidis combined with oral care.The dental plaque index,the number of bacterial colonies in oral secretions and Beck Oral Assessment Scale were compared between the two groups before nursing and 1 week after nursing.At the same time,the incidence of oral adverse conditions(halitosis,oral leukoplakia,dry lips,oral ulcer),lung infection and oral cleanliness were compared between the two groups.ResultsOne week after nursing,the dental plaque index and Beck oral score of the study group were lower than those of the control group,and the number of bacterial colonies in oral secretion was less than that of the control group,and the differences were statistically significant(P<0.05).The incidence of halitosis(8.45%),oral leucoplakia(2.82%),oral ulcer(1.41%),dry lip(9.86%)and pulmonary infection(0.00%)in the study group were lower than those in the control group(21.13%,12.68%,23.94%,9.86%and 7.04%,respectively),and the differences were statistically significant(P<0.05).After 1 week of nursing,the cleanliness of oral mucosa,dental surface,interdental gap,lingual surface,cheek and hard palate in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).ConclusionsIn patients with hypertensive cerebral hemorrhage by nasal feeding,the combination of oral care with folium isatidis can effectively prevent oral ulcer and lung infec

关 键 词：高血压脑出血 鼻饲 大青叶 口腔护理 口腔溃疡 口腔菌斑 肺部感染 

分 类 号：R473.74[医药卫生—护理学]