经口气管插管行机械通气患者口腔护理的合理频次分析(1)
[摘要]目的 研究将口腔护理合理频次应用在经口气管插管行机械通气患者中的临床效果。方法 选择2015年12月～2016年12月在我院接受诊治经口气管插管行机械通气患者88例，以随机数字表法分为实验组、参照组，每组44例。将采取一次口腔护理患者作为参照组，将采取两次及以上频次口腔护理患者作为实验组，对经不同口腔护理干预之后两组患者各项数据差异情况予以分析。结果 实验组患者经对症护理干预之后的口腔清洁度良好率高于参照组，差异有统计学意义(P<0.05)；VAP发生率、溃疡发生率等指标低于参照组，差异有统计学意义(P<0.05)；实验组患者咽部标本细菌数量显著高于参照组，且差异有统计学意义(P<0.05)，但是两组患者的霉菌感染发生率差异无统计学意义(P>0.05)。结论 在经口气管插管行机械通气患者应用两次及以上口腔合理频次护理疗效比较显著，提升口腔护理次数可以降低发生溃疡、口臭概率，提升口腔清洁度，值得广泛应用研究。
[关键词]经口气管插管行机械通气；口腔护理；合理频次
[中图分类号] R472.9 [文献标识码] A [文章编号] 1674-4721(2017)11(b)-0180-03
[Abstract]Objective To study the clinical effect of reasonable frequency of oral nursing in patients undergoing mechanical ventilation via oral trachea intubation.Methods 88 cases in our hospital from December 2015 to December 2016 were selected and the digital table method was randomly divided into control group and experiment group，with 44cases in each group.who underwent mechanical ventilation via oral trachea intubation randomly according to the computer table method：control group underwent one time of oral care：while， experiment group underwent more than two times of oral care. The difference in various data between two groups was analyzed after different oral nursing interventions.Results The oral cleanliness good rate of experiment group after symptomatic nursing intervention was higher than that of control group ，with statistically significant difference (P<0.05) ，the incidence rate of ventilator associated pneumonia and ulcers was lower than that of control group with statistically significant difference (P<0.05)；the bacteria count of pharyngeal specimens of experiment group was significantly higher than that of control group，with statistically significant difference (P<0.05).However， the difference between the two groups in the incidence of fungal infections was not significant，without statistically significant difference (P>0.05).Conclusion Application of oral nursing at reasonable frequency (≥ two times) in patients undergoing mechanical ventilation via oral trachea intubation achieves significant effects， improves the frequency of oral care and oral cleanliness and reduces the incidence of ulcers and halitosis， which is worthy of wide application and research.
[Key words] Mechanical ventilation via oral trachea intubation；Oral care；Reasonable frequency
經口气管插管机械通气是脑外科救治危重患者的主要方式，但是气管插管处理之后不能方便的进行口腔护理，患者又因为禁食进而影响咀嚼以及吞咽功能，且患者服用利尿以及脱水等药物，促使唾液减少以及口腔黏膜干燥，降低患者口腔局部抵抗力以及自洁作用[1]，十分容易迅速繁殖口腔内细菌，因牙垫与气管插管之间存在一定摩擦，口腔黏膜十分容易发生糜烂与溃疡，降低屏障作用，大量应用抗生素会促使菌群发生失调，口腔细菌迅速繁殖，导致不能下咽口腔分泌物，在口腔中存留形成菌的培养基。对我院此次收治的经口气管插管行机械通气患者88例，不同口腔护理的结果，现报道如下。, 百拇医药(乐丽华)
[关键词]经口气管插管行机械通气；口腔护理；合理频次
[中图分类号] R472.9 [文献标识码] A [文章编号] 1674-4721(2017)11(b)-0180-03
[Abstract]Objective To study the clinical effect of reasonable frequency of oral nursing in patients undergoing mechanical ventilation via oral trachea intubation.Methods 88 cases in our hospital from December 2015 to December 2016 were selected and the digital table method was randomly divided into control group and experiment group，with 44cases in each group.who underwent mechanical ventilation via oral trachea intubation randomly according to the computer table method：control group underwent one time of oral care：while， experiment group underwent more than two times of oral care. The difference in various data between two groups was analyzed after different oral nursing interventions.Results The oral cleanliness good rate of experiment group after symptomatic nursing intervention was higher than that of control group ，with statistically significant difference (P<0.05) ，the incidence rate of ventilator associated pneumonia and ulcers was lower than that of control group with statistically significant difference (P<0.05)；the bacteria count of pharyngeal specimens of experiment group was significantly higher than that of control group，with statistically significant difference (P<0.05).However， the difference between the two groups in the incidence of fungal infections was not significant，without statistically significant difference (P>0.05).Conclusion Application of oral nursing at reasonable frequency (≥ two times) in patients undergoing mechanical ventilation via oral trachea intubation achieves significant effects， improves the frequency of oral care and oral cleanliness and reduces the incidence of ulcers and halitosis， which is worthy of wide application and research.
[Key words] Mechanical ventilation via oral trachea intubation；Oral care；Reasonable frequency
經口气管插管机械通气是脑外科救治危重患者的主要方式，但是气管插管处理之后不能方便的进行口腔护理，患者又因为禁食进而影响咀嚼以及吞咽功能，且患者服用利尿以及脱水等药物，促使唾液减少以及口腔黏膜干燥，降低患者口腔局部抵抗力以及自洁作用[1]，十分容易迅速繁殖口腔内细菌，因牙垫与气管插管之间存在一定摩擦，口腔黏膜十分容易发生糜烂与溃疡，降低屏障作用，大量应用抗生素会促使菌群发生失调，口腔细菌迅速繁殖，导致不能下咽口腔分泌物，在口腔中存留形成菌的培养基。对我院此次收治的经口气管插管行机械通气患者88例，不同口腔护理的结果，现报道如下。, 百拇医药(乐丽华)