吸唾管式牙刷联合氯己定口腔护理套装在重症监护病房机械通气患者中的应用效果观察  

Effect of suction toothbrush with chlorhexidine oral care kit in ICU mechanically ventilated patients

作　　者：张耀丹 杜爱平[1] 刘欢[1] 晏聪 杨雪琴[1] 李镰池 吴燕[1] 杜春华 李玉梅 ZHANG Yao-dan;DU Ai-ping;LIU Huan;YAN Cong;YANG Xue-qin;LI Lian-chi;WU Yan;DU Chun-hua;LI Yu-mei(Department of Critical Care Medicine,West China Hospital/West China School of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院重症医学科/华西护理学院,四川成都610041

出　　处：《中国消毒学杂志》2025年第2期135-138,142,共5页Chinese Journal of Disinfection

摘　　要：目的 探讨吸唾管式牙刷联合氯己定口腔护理套装在重症监护病房(ICU)机械通气患者中的临床应用效果。方法 选取2021年12月-2022年4月四川大学华西医院ICU收治的118例机械通气患者为研究对象,随机分为试验组(62例)和对照组(56例),试验组采用吸唾管口腔护理套装进行口腔护理,对照组采用传统口腔护理方法。比较2组患者口腔菌落数、口腔Beck评分、口腔护理操作时间、呼吸机相关性肺炎及不良事件发生率以及清醒患者主观感受。结果 试验组患者口腔护理后1 h口腔细菌的增长速率显著低于对照组(P<0.05),试验组患者试验后第7天口腔Beck评分显著低于对照组(t=0.009,P<0.05),试验组口腔护理用物准备时间及操作时间显著少于对照组(t=9.870,P<0.05;t=2.537,P<0.05),试验组患者口腔护理相关并发症未增加,且患者舒适感较好。结论 使用吸唾管式牙刷联合氯己定口腔护理套装可抑制ICU机械通气患者口腔细菌的增长。Objective To explore the application effect of suction toothbrush with chlorhexidine oral care kit in ICU patients with mechanical ventilation.Methods 118 patients with mechanical ventilation admitted to ICU of West China Hospital of Sichuan University from December 2021 to April 2022 were randomly divided into experimental group(n=62)and control group(n=56).The experimental group received oral care with suction toothbrush set,and the control group received traditional oral care.The oral colony count,oral Beck score,oral nursing time,incidence of ventilators associated pneumonia and adverse events,and subjective feelings of patients were compared between the two groups.Results The growth rate of oral bacteria in experimental group was significantly lower than that in control group one hour after oral protection(P<0.05).The oral Beck score of the experimental group was significantly lower than that of the control group on the 7th day after intervention(t=0.009,P=0.003).The preparation time and operation time of oral care products in experimental group were significantly less than those in control group(t=9.870,P<0.05;t=2.537,P<0.05).There was no increase in complications related to oral care in the experimental group,and patients'comfort was better.Conclusion Suction toothbrush combined with chlorhexidine oral care kit can inhibit the growth of oral bacteria in ICU patients with mechanical ventilation.

关 键 词：口腔护理 吸唾管负压吸引牙刷 氯己定 

分 类 号：R187[医药卫生—流行病学]