经口气管插管病人两种口腔护理方法的临床观察

目的通过冲洗刮吸法加口灵涂擦及常规护理方法对经口气管插管患者口腔护理的临床观察,以提供更好的护理措施。方法将经口气管插管行机械通气的患者115例分2组,对照组按口腔护理操作常规进行操作,试验组在口腔护理操作常规的基础上,采用生理盐水冲洗刮吸加口灵涂擦的方法操作,定期观察并记录发生口臭和口腔炎症的病例数。结果对照组口臭发生率为38.60%(22/57),口腔炎症发生率为31.58%(18/57);试验组口臭发生率为0.03%(2/58),口腔炎症发生率为0.03%(2/58),两组差异有统计学意义。结论冲洗刮吸法在预防经口气管插管患者口臭和口腔炎症中效果明显。

Comparison between Effects of Two Nursing Methods in Patients with Peroral Endotracheal Intubation

Objective To observe the method of washing, scraping and suction plus embrocation of Kouling in the nursing of the patients with peroral endotracheal intubation. Methods A total of 115 patients with mechanical ventilation via peroral endotracheal intubation were divided into two groups, i.e. control group given routine mouth nursing, and experimental group given additional washing with physiological saline, scraping and suction plus embrocation of Kouling. Results In the control group, the incidences of halitosis and stomatitis were 22/57 and 18/57, respectively. In the experimental group, the counterparts were both 2/58. Significant differences between the two groups existed. Conclusion The method of washing, scraping and suction is effective on the prevention of halitosis and stomatitis in the patients with peroral endotracheal intubation.