益口漱口液用于口腔颌面外科围术期患者口腔护理效果观察

目的探讨益口漱口液用于口腔颌面外科围术期患者口腔护理的效果。方法将150例口腔颌面外科手术患者随机分为观察组和对照组各75例。两组均于术前1~3 d和术后第1~5天采用生理盐水进行口腔护理,观察组加用益口漱口液漱口。结果观察组牙龈出血、伤口感染、口腔溃疡、口干、口臭、咽痛发生率显著低于对照组(P<0.01,P<0.05)。结论益口漱口液用于口腔颌面外科围术期患者口腔护理效果明显。     

益口漱口液用于口腔颌面外科围术期患者口腔护理效果观察

目的探讨益口漱口液用于口腔颌面外科围术期患者口腔护理的效果。方法将150例口腔颌面外科手术患者随机分为观察组和对照组各75例。两组均于术前1～3d和术后第1～5天采用生理盐水进行口腔护理。观察组加用益口漱口液漱口。结果观察组牙龈出血、伤口感染、口腔溃疡、口干、口臭、咽痛发生率显著低于对照组（P〈0．01，P〈0．05）。结论益口漱口液用于口腔颌面外科围术期患者口腔护理效果明显。     

护理干预预防全麻手术病人呼吸道感染的效果观察

将 6 0例全麻手术病人随机分为两组 ,对照组 32例 ,手术前后行常规护理 ;观察组 2 8例 ,术前予以呼吸训练和预防性雾化吸入 ,麻醉清醒后及时实施雾化吸入等护理干预。采用呼吸系统感染诊断标准判断术后第 10天两组呼吸道感染情况。结果观察组呼吸道感染发生率 2 1.2 3% ,咳嗽时间 (2 .2 0± 1.30 )d ;对照组呼吸道感染发生率为 78.13% ,咳嗽时间 (5 .17± 3.2 0 )d ,两组比较 ,差异有极显著性意义 (P <0 .0 1)。提示对全麻手术病人应重视呼吸功能的训练 ,有针对性地实施雾化吸入 ,可以有效地防止呼吸道感染的发生     

3％碳酸氢钠联合制霉菌素甘油及碘甘油预防肝移植术后口腔并发症及肺部感染

目的探讨3％碳酸氢钠液漱口联合制霉菌素甘油及碘甘油进行口腔护理预防肝移植术后口腔并发症及肺部感染的效果。方法将166例肝移植术后患者随机分为对照组（79例）和观察组（87例）,对照组按常规采用生理盐水进行口腔护理，观察组采用3％碳酸氢钠液漱口联合制霉茼素甘油和碘甘油进行口腔护理,观察并记录术后肺部感染和口腔并发症的发生情况。结果观察组口腔并发症及肺部感染发生率显著低于对照组（均P〈：0．01）。结论3%碳酸氢钠液漱口联合制霉菌素甘油和碘甘油进行口腔护理对降低肝移植术后口腔并发症及肺部感染起看非常重要的作用。     

3%碳酸氢钠联合制霉菌素甘油及碘甘油预防肝移植术后口腔并发症及肺部感染

目的 探讨3%碳酸氢钠液漱口联合制霉菌素甘油及碘甘油进行口腔护理预防肝移植术后口腔并发症及肺部感染的效果.方法 将166例肝移植术后患者随机分为对照组(79例)和观察组(87例),对照组按常规采用生理盐水进行口腔护理,观察组采用3%碳酸氢钠液漱口联合制霉菌素甘油和碘甘油进行口腔护理,观察并记录术后肺部感染和口腔并发症的发生情况.结果 观察组口腔并发症及肺部感染发生率显著低于对照组(均P＜0.01).结论 3%碳酸氢钠液漱口联合制霉菌素甘油和碘甘油进行口腔护理对降低肝移植术后口腔并发症及肺部感染起着非常重要的作用.     

自制漱口液联合吹氧治疗化疗后口腔黏膜炎

目的 探讨自制漱口液联合吹氧治疗血液痛患者化疗后口腔黏膜炎的效果.方法 将106例化疗后口腔黏膜炎患者分成两组,观察组56例应用自制漱口液漱口联合吹氧疗法进行口腔护理,对照组50例应用我院常规漱口液即甲硝唑加锡类散进行口腔护理.结果 观察组总有效率显著优于对照组,且患者更易接受(均P＜0.05).结论 自制漱口液和吹氧疗法联合应用于化疗后口腔黏膜炎,可以达到消炎、抑茵、镇痛的作用,可以促进口腔黏膜炎的愈合.     

不同口腔护理方法预防呼吸机相关性肺炎及口腔感染的效果观察

目的探讨自制漱口液联合吹氧治疗血液病患者化疗后口腔黏膜炎的效果。方法将106例化疗后口腔黏膜炎患者分成两组,观察组56例应用自制漱口液漱口联合吹氧疗法进行口腔护理,对照组50例应用我院常规漱口液即甲硝唑加锡类散进行口腔护理。结果观察组总有效率显著优于对照组,且患者更易接受（均P〈0.05）。结论自制漱口液和吹氧疗法联合应用于化疗后口腔黏膜炎,可以达到消炎、抑菌、镇痛的作用,可以促进口腔黏膜炎的愈合。     

益口联合阿昔洛韦预防桥小脑角肿瘤术后面部单纯性疱疹

目的 探讨益口含漱液配合阿昔洛韦口服预防桥小脑角肿瘤切除术后并发面部单纯性疱疹病毒（HSV）感染的临床效采。方法 两组均给予阿昔洛韦口服，200mg／次，3次／d，疗程10d；同时采用生理盐水于术前3d及术后1～7d行口腔护理，2a／d。观察组在此基础上用益口含漱液漱口并涂搽口唇黏膜。结果 对照组15例（88．2％）并发面部HSV感染．观察组仅6例（25．0%）并发HSV感染．两组比较。差异有显著性意义（P〈0．01）。结论 益口舍漱联合阿昔洛韦预防桥小脑角肿瘤切除术后面部HSV感染效果显著，且无不良反应。     

复方氯己定含漱预防腭裂整复创面感染的效果观察

目的探讨复方氯己定含漱液对腭裂整复创面感染的影响。方法分别用复方氯己定含漱液 (观察组 )和复方硼砂漱口液 (对照组 )对腭裂整复术后病人进行含漱 ,观察两组病人整复术后创面愈合率、平均住院时间。结果创面愈合时间观察组为 (8 5± 1 0 )d ,对照组 (14 0± 1 0 )d ;创面糜烂和愈合不良的发生率观察组为 0 ,对照组为 12 5 % ;平均住院时间分别为 (9 5± 2 0 )d和 (11 5± 3 0 )d ,观察组明显优于对照组 (P <0 0 5或P <0 0 1)。结论用复方氯己定含漱液漱口可有效降低腭裂整复创面感染率。     

口腔插管麻醉下口咽寰枢关节松解术的围术期护理

2009年8月~2015年4月我科经口腔插管麻醉下行口咽寰枢关节松解手术209例。咽后壁正中切口显露寰枢椎,横断影响复位的颈前肌及前纵韧带,分离寰枢侧块关节,将寰枢关节复位。术中10例门齿有缺陷应用牙套保护后牙齿没有受损;术后痰液阻塞呼吸道致呼吸困难2例,经护理干预后顺利康复;颅内感染1例、咽后壁感染1例、后路切口感染1例,行清创术及抗感染治疗。均痊愈出院,住院时间8~18 d,平均12 d。我们认为术前应关注患者的心理护理、呼吸道及口腔准备,术中严密监测生命体征及出血情况,预防压疮发生,术后严密观察生命体征变化,做好呼吸道管理、咽后壁切口感染的预防、切口及引流管护理。     

全麻术后患者应用泻黄散加味行口腔护理研究

目的研制全麻术后患者优效口腔护理含漱液,提高口腔护理效果。方法将105例全麻术后脾胃伏火证患者随机分为三组各35例,均于术后开始口腔护理及用生理盐水进行预处理;之后生理盐水组用生理盐水含漱清洗及喷雾;银尔通组用银尔通含漱清洗及喷雾;泻黄散加味组制备泻黄散加味含漱液并用于含漱清洗及喷雾。2次/d,连续3d后评价效果。结果泻黄散加味组口臭发生率及菌落计数显著低于和少于生理盐水组,pH值显著高于另两组(P0.0125,P0.05);咽部不适防治效果及口腔黏膜炎发生率三组比较,差异无统计学意义(均P0.05)。结论泻黄散加味佩兰及薄荷,用于全麻术后患者口腔护理,可有效维持口腔正常pH值,有良好的抑菌效果,从而降低口臭发生率;预处理、含漱清洗及口腔喷雾干预模式有利于保持口腔持续湿润状态,缓解不适感。     

Effects of intermaxillary fixation during orthognathic surgery on respiratory function after general anesthesia.

I examined the relationship between preoperative breathing route (nasal and/or oral) and respiratory status in 29 patients who underwent orthognathic surgery and intermaxillary fixation (IMF) with general anesthesia and in 14 healthy, adult control volunteers who received IMF without surgery or anesthesia. The tidal volume (VT), minute respiratory volume (MV), respiratory rate, and end-tidal carbon dioxide concentration were measured for both nasal and oral breathing before and after IMF. Pulse oximetry recordings were also taken. There was no significant effect of IMF on any parameter in the volunteers. Fifteen patients engaged in nasal breathing only both before and after surgery with IMF (group pN), and 7 patients had combined nasal and oral breathing before but only nasal breathing after IMF (group pNO). VT and MV decreased (536-357 mL and 7.84-5.40 L, respectively) in group pNO after IMF. These results suggest that assessment of the preoperative breathing status is helpful in predicting postoperative respiratory function after IMF and indicate that patients with preoperative mouth breathing require greater respiratory care after general anesthesia with IMF.     

Preemptive gastrointestinal tract management reduces aspiration and respiratory failure after thoracic operations

OBJECTIVES: Respiratory failure is the major mode of death after general thoracic operations. However, respiratory failure may develop from two very different mechanisms: aspiration, often caused by ileus, and pneumonia, which often results from poor pain control. Epidural catheters help control pain and prevent pneumonia but contribute to ileus and may increase aspiration. We report a decrease in the incidence of aspiration after changing postoperative care to include gastrointestinal tract management. METHODS: All patients undergoing elective thoracotomy by a single surgeon were evaluated for hospital mortality and morbidity. For the first 21 months, patients did not receive an intraoperative nasogastric tube and were prescribed an "advance as tolerated" diet after the operation (n = 125). For the second period, nasogastric tubes were placed intraoperatively and patients received nothing by mouth the day of operation, clear liquids the first day, and a regular diet the second day (n = 153). Pneumonia was considered to have developed if infiltrates developed in a single lobe or two adjoining lobes and culture of the sputa grew a dominant organism. Patients were considered to have aspirated if diffuse infiltrates developed or cultures grew multiple organisms. Significance of results was determined by chi(2) testing. RESULTS: A total of 278 patients underwent elective lung resection over a 3(1/2)-year period, 125 with ad libitum dietary management and 153 with intensive management of the gastrointestinal tract. Six patients (4.84%) aspirated before the institution of gastrointestinal tract management, whereas none (0.0%) aspirated after the change. This difference was significant (P =.01). Respiratory mortality was eliminated in the group with gastrointestinal tract management (P =.04). CONCLUSIONS: Aspiration and its subsequent respiratory failure and mortality can be decreased with preemptive gastrointestinal tract management.     

The effect of prostaglandin F2 alpha on the gastrointestinal movement after urological surgery

To facilitate postoperative flatus, Prostaglandin F2 alpha (PGF2 alpha) was given intravenously to 23 patients who underwent urological operations. The patients were 14 males and 6 females aged from 20 to 77 years old. Patients with hypertension or cardiovascular disease were not included. Twelve operations were performed under general anesthesia, and 8 under epidural anesthesia. Thirteen operations were performed for the upper urinary tract or adrenal gland, and 5 were for the lower urinary tract. In 2 cases, the peritoneal cavity was opened and operations were performed on the intestines. PGF2 alpha 2000 micrograms was added to the postoperative drip infusion and administered in 2 to 3 hours. Until the first flatus was recognized, PGF2 alpha was given once a day in the same manner. Twenty-six patients, 10 of whom were given either vagostigmine or pantothen postoperatively, served as the control group. PGF2 alpha accelerated the postoperative flatus by 8.7 hours (mean) compared with the control group, but it was not significant. The onset of flatus was significantly promoted under epidural anesthesia. Gastrointestinal movement tended to be facilitated in the PGF2 alpha group after lower urinary tract surgery and in the patients over 50 years old. Three patients complained of severe abdominal pain as a side effect; and, injection of PGF2 alpha was stopped. In 7 patients, mild stomachache , vascular pain, nausea, vomiting or elevation of blood pressure were observed.     

银翘含漱液用于内科住院患者口腔并发症效果观察

目的观察银翘含漱液对内科住院患者口腔并发症的治疗效果。方法将住院并发牙龈炎的220例患者随机分为观察组和对照组各110例,观察组用自制银翘含漱液,对照组用朵贝尔氏液,均于晨起、三餐后及睡前含漱,1周后评价效果。结果观察组疗效显著优于对照组,治疗后细菌培养菌株总数减少。结论内科住院患者口腔并发症采用银翘含漱液治疗效果优于朵贝尔氏液。     

复方杞菊汤漱口治疗化疗所致口腔溃疡的研究

目的 探讨复方杞菊汤漱口治疗多发性骨髓瘤患者化疗所致口腔溃疡的效果.方法 将住院化疗并发口腔溃疡的多发性骨髓瘤患者60例,随机分为观察组和对照组各30例.观察组给予复方杞菊汤漱口,对照组给予西吡氯胺漱口,观察两组治疗口腔溃疡疗效.结果 观察组不同时间口腔溃疡疼痛评分、口腔溃疡面积显著低于或小于对照组,愈合时间显著短于对...     

呼吸功能训练对肺癌患者术后肺功能的影响

目的通过探讨呼吸功能训练对肺癌患者术后肺功能的影响。方法将80例肺癌术后患者分为观察组、对照组,每组40例。对照组采用传统的常规护理,观察组在对照组的基础上,采取在围手术期对患者呼吸功能训练的护理干预,入院后第一天及术后第一周对肺功能的测定。结果术前两组血气指标、肺功能指标等无明显差异(P0.05);术后一周观察组血氧饱和度、氧分压、FEV1%、FEV1\FVC%指标值均优于对照组,差异具有统计学意义(P0.05)。观察组肺功能质量均好于对照组,并且患者对术后的生活质量期望值明显提高。结论肺癌术后在常规护理基础上进行呼吸功能训练可提高肺癌患者术后的呼吸功能,促进肺功能的恢复。     

银花五汁饮对全麻术后患者呼吸道炎症反应的临床观察

目的:探讨银花五汁饮治疗全麻术后气管插管患者呼吸道炎症的临床效果。方法:选取2018年10月—2019年2月我院外科病区收治的行腹腔镜胆囊切除术的患者60例,分为对照组和观察组,每组30例。观察组:术后24 h采用常规治疗和银花五汁饮口服,2次/d,50 mL/次,连服3 d。对照组:术后24 h采用常规治疗和盐酸氨溴索注射液雾化吸入治疗,2次/d,连用3 d。比较手术日(治疗前)、术后第3天(治疗后)两组患者的咽喉疼痛症状积分及咳嗽咳痰症状积分,观察并比较患者的总有效率。结果:治疗前,两组的咽喉疼痛症状积分及咳嗽咳痰症状积分差异无统计学意义;治疗后,两组的咽喉疼痛症状积分及咳嗽咳痰症状积分均降低,且观察组明显低于对照组,差异有统计学意义(P<0.05)。观察组的总有效率为93.33%(28/30),高于对照组66.67%(20/30),差异有统计学意义(P<0.05)。结论:银花五汁饮具有养阴清肺、生津化痰的作用,对于全麻术后气管插管患者呼吸道炎症的治疗具有显著疗效。     

右美托咪定对心脏瓣膜置换术患者围术期应激水平及镇静评分的影响

目的 探讨右美托咪定对心脏瓣膜置换术患者围术期应激水平及镇静评分的影响.方法 回顾性分析2019-05—2020-04间在南阳医学高等专科学校第一附属医院行心脏瓣膜置换术的78例患者的临床资料,根据麻醉方法分为全身麻醉组(对照组)和右美托咪定联合全身麻醉组(观察组),各39例.比较2组患者的基线资料.术前、术后第1天的...     

优化呼吸道护理干预在 ICU 大面积重度烧伤患者中的应用效果

目的 探究优化呼吸道护理干预在ICU大面积重度烧伤患者中的应用效果。方法 选取2021年 1月-2022年12月我院收治的100例大面积重度烧伤患者作为对象,随机分为对照组和观察组,各50例。 对照组实施常规护理,观察组实施优化式呼吸道护理,比较两组护理效果、住院时间、护理满意度、烧 伤修复相关指标及并发症发生率。结果 观察组护理总有效率高于对照组（P＜0.05）;观察组各项临床 指标均优于对照组（P＜0.05）;观察组满意度高于对照组（P＜0.05）;观察组烧伤修复指标优于对照 组（P＜0.05）;两组并发症发生率比较,差异无统计学意义（P＞0.05）。结论 实施优化呼吸道护理干预 能够减少住院时间和费用,降低堵管、感染几率,提升患者满意度,提升烧伤修复成功率。