常规刷牙预防呼吸机相关性肺炎的效果观察(1).pdf

48 J ournal of N ursing Science A ug . 20 11 V ol26 N o15( G eneral M edicine) 1 1 2 邹红, 万小红 , 邱秋娟 : 探讨常规刷牙在预防呼吸机相关性肺炎( V A P) 中的作用, 为寻找 为有效的口腔护理方法提供依据将9 8 例经 口气管插管机械通气患者随机分为两组, 对照组( 48 例) 应用传统擦拭法进行口腔护理, 观察组( 50 例) 采用常规刷牙方法进行口 腔护理; 两组口腔护理后均给予口腔冲洗和咽部深吸引比较两组机械通气1 周后V A P 发生率机械通气时间及ICU 住院时 间 观察组机械通气1 周后V A P 发生率显著低于对照组( P 0 . 05) , 机械通气时间及I CU 住院时间显著短于对照组( 均 P 0. 01) 常规刷牙配合口腔冲洗及咽部深吸引能显著降低V A P 的发生率, 缩短机械通气及ICU 住院的时间 : 机械通气; 经口气管插管; 刷牙; 呼吸机相关性肺炎; 口腔护理 : R473 . 2 : A : 10014 152( 20 11) DOI: 10 . 3870/ hlxzz . 20 11. 15. 04 8 Prevention of ventilatorassociated pneumonia by routine toothbrushingZou H ong , Wan X iaohong , Qiu Qiuj uan ( Dep artment of N urs ing , Chronic D iseases Control H osp ital of Baoan D istrict in Shenz hen, Shenz hen 18133 , China) Abstract: Objective T o s udy he ef f ec o f ro u ine o o h bru shing on preven io n o f ven ila orassocia ed pneumonia ( V AP ) , and o pr ov ide ev idence for a be er ora l car e me hod . Methods T o a lly, 98 pa ien s w ho w ere g iv en oral endo racheal in uba io n for me chanical ven ila ion( M V) w ere randomly div ided in o an obser va ion g ro up ( n= 50) and a co n ro l g r oup ( n= 48) . T he con ro l g roup w er e g iv en conven io na l or al nursing car e w i h chlo rhex idine collu o ry, w hile he o bser va io n g ro up r eceiv ed bru shing of ee h w i h chlor hex idine co llu ory . A f er ora l nur sing car e, pa ien s in bo h g roup s receiv ed oral r insing and lary ng ophary nx suc io ning . T he incidence o f V A P on he 7 h day of M V, he dur a ion o f M V and he leng h of ICU s ay w ere compared . Results T he incidence o f VA P in he o bserv a ion gr oup w as signif ican ly lo w er han ha in he co n rol g ro up on he 7 h day of M V ( P 0. 05) , he dura