经口气管插管口腔护理方法改良与效果评价

目的:探讨经口气管插管病人口腔护理的有效方法,提高护士的技术操作能力和工作效率,保证经口气管插管病人的口腔护理质量。方法:将入选的116例经口气管插管病人随机分为2组,改良组60例,传统组56例。在口腔护理溶液相同的条件下,传统组按常规口腔护理操作方法;改良组在麻醉咽喉镜明视下用擦拭的方法进行口腔护理。每次口腔护理结束后观察口腔内污垢的残留,每日在进行口腔护理操作前观察口臭、口腔溃疡、牙菌斑的发生情况,连续观察7d,将所得的结果和对所需的人力、时间进行列表比较。结果:传统组污垢残留52例,口臭21例,口腔溃疡18例,牙菌斑21例;改良组污垢残留发生2例,口臭1例,口腔溃疡1例,牙菌斑2例。结论:在麻醉咽喉镜明视下进行口腔护理能提高经口气管插管病人口腔护理的质量,减少口臭、口腔感染并发症,可节省人力和时间。

The improvement of the oral care and effect appraisal for patient with orotracheal intubation

Objective:The discussion inserts a tube the effective method after the mouth trachea which the patient oral cavity nurses, sharpens nurse's technical operation ability and the working efficiency, guaranteed inserts a tube the patient oral cavity after the mouth trachea to protect the quantity the quality.Methods:Will be selected 116 pass through the mouth trachea to insert a tube the patient stochastically to divide into 2 groups, the improvement group 60 examples, the traditional group 56 examples. Nurses under the solution same condition in the oral cavity, the traditional group nurses the operating procedure according to the conventional oral cavity, the improvement group for swallows the laryngoscope in the an aesthesia clearly to regard with the method which cleans carries on the oral cavity to nurse, after each time the oral cavity nurses had finished observes in the oral cavity dirt remaining, in carries on the oral cavity to nurse before every day the operation the observation halitosis, the oral cavity ulcer, the tooth fungus spot occurrence situation, continuously observes 7 day, the obtained result and to the manpower, the time which will need carries on tabulates the comparison.Results:The traditional group dirt remains 52 examples, the halitosis 21examples, the oral cavity ulcer 18 examples, the tooth fungus spot 21examples; The improvement group dirt remains has 2 examples, the halitosis 1 example, the oral cavity ulcer 1 example, the tooth fungus spot 2 examples.Conclusion:Swallows the laryngoscope in the an aesthesia clearly to regard carries on the oral cavity to nurse can enhance inserts a tube the quality after the mouth trachea which the patient oral cavity nurses, reduces the halitosis, the oral cavity feeling catches an illness sending sickness, may save the manpower and the time.