不同口腔护理方法在经口气管插管患者中的对比研究

目的探讨经口气管插管患者口腔护理的有效方法,观察应用美容小喷瓶喷雾法的临床效果。方法选取我院急诊科2009年6月～2011年6月经口气管插管患者142例,随机分为两组,对照组采用传统口腔护理方法;实验组采用口腔冲洗及擦拭后使用美容小喷瓶将口泰(复方洗必泰含漱液)雾化喷洒在口腔内,定期观察并记录发生口臭、口腔炎症和呼吸机相关性肺炎(VAP)的病例数。结果对照组口臭36例,口腔感染18例,VAP 22例;实验组口臭12例,口腔感染9例,VAP 18例,两组差异有显著意义(P<0.05)。结论实验组采用的口腔护理法能有效地提高经口气管插管患者的口腔护理质量,在预防患者口臭、口腔感染和VAP中效果显著,避免了传统口腔护理法易使患者发生误吸及意外拔管的危险,增加了病人的舒适度,降低了治疗成本。

Comparative study of different method of oral care for patients with orotracheal intubation

Objective To study the effective way of orotracheal intubation for patients with oral care,and to observe the clinical effect of the small beauty bottle spray. Method 142 cases of intubation were selected in the hospital emergency department from June2009 to June2011 and randomly divided into two groups, the control group was given traditional method of oral care, the experimental group was given innovative method. Koutai spray was atomized spray in the mouth after washed and wipped the mouth witha small beauty spray bottle. The occurrence of bad breath,oral infection and ventilator-associated pneumonia （VAP） of the number of cases wand regularly observed and recorded between the two groups. Result 36 cases bad breath, 18 cases oral infection and 22 cases of VAP was observed in control group. In the experimental group, 12 case of bad breath,9 cases of oral infection and 18 cases of VAP was observed. There was significant difference between experimental group and control group（P（0.05）. Conelusion Innovative oral care method can effectively improve the orotracheal intubation patients oral care quality, there was remarkable effect for prevention halitosis, oral infection and VAP, and avoid aspiration and accidental extubation by traditional oral care method, and increase patients comfort and reduce treatment costs.