icu口腔感染的预防及护理（Prevention and nursing of ICU oral infection）.docVIP

icu口腔感染的预防及护理（Prevention and nursing of ICU oral infection） Compile and compile: prevention and nursing of ICU oral infection With the development of medical science and technology, the nursing work of ICU has been further improved. The nursing of patients with ICU is an important part of nursing work, and the quality of care is directly related to the rehabilitation of patients. Compilation of small compilation, I know since the establishment of our hospital since ICU, and constantly sum up experience, update knowledge, reducing the incidence of a variety of nursing complications. In particular, the prevention and care of oral infections play a crucial role in promoting the rehabilitation of critically ill patients, and prevention and care are summarized as follows. 1 oral infection related knowledge Oral infections are common in general anesthesia, coma, hibernation therapy, chemotherapy, leukemia, maxillofacial surgery, dysphagia, and nasal feeding. Because oral mechanical self-cleaning effect is limited, many factors and oral secretions, food residue retention, masticatory muscle weakness, swallowing coma patients without swallowing, resulting in dirty mouth aggravating, caused by oral ulcer and [1] infection. Large doses of radiotherapy and chemotherapy will inevitably cause damage to normal oral mucosa epithelial cells, and the mucosal barrier will destroy the bacteria, which will lead to secondary oral infections. Severe infection can cause septicemia, which is mainly manifested as inflammatory ulcer. 2 prevention and care 2.1 prevention and detection Prevention of oral bacterial clearance after 4 to 6h and then grow, so it should adhere to oral care 4 times a day, [1]. General use of physiological saline, oral care, gauze ball for oral care. Patients with special odor should do throat swab culture and choose gargle according to culture result. The changes of oral mucosa and buccal membrane were often observed, and oral nursing fluids should be chosen accordi