牙刷刷洗与棉球擦洗法用于经口气管插管患者口腔护理的效果比较

目的比较牙刷刷洗加0．05％碘伏冲洗法与棉球擦洗加0．05％碘伏冲洗法对经口气管插管患者口腔护理的效果。方法将86例经口气管插管患者随机分为棉球擦洗组（对照组）42例和牙刷刷洗组（实验组）44例，比较两种方法在行口腔护理后10min及4h口腔内的pH值、口臭和口腔炎症的发生率。结果对照组口腔护理10min后口腔pH值维持在6．6～7．1的为66．6％，4h后为40．4％，口臭发生率为42．8％，口腔炎症发生率为38．0％；实验组口腔护理10min后口腔pH值维持在6．6～7．1的为86．3％，4h后为77．2％，口臭发生率为22．7％，口腔炎症发生率为13．6％。两组上述4项指标比较差异均有统计学意义（P〈0．05）。结论对经口气管插管患者行牙刷刷洗加0．05％碘伏冲洗法，其口腔护理的效果明显优于棉球擦洗加0．05％碘伏冲洗法。

Comparison on the effect of oral nursing by tooth-brushing and cotton scrubbing for the patients with orotracheal intubation

Objective To explore the oral care effects of tooth-brushing with 0.05% iodophor and oral cotton scrubbing with 0.05% iodophor for the patients with orotracheal intubation. Methods 86 patients with orotracheal intubation were randomly divided into cotton scrubbing group(control group,42 cases)and toothbrushing group(experimental group,44 cases). Oral PH values,the incidence of fetor otis and stomatitis 10min and 4 hours after care were compared. Results In the control group,oral PH value of 66.6% patients maintained 6.6 ～7.1 10min after care and the proportion was 40. 4% after 4 hours; the incidence of fetor oris and stomatitis were 42.8% and 38.0% respectively. In the experimental group,oral PH value of 86.3% patients maintained 6.6 ～ 7.1 10min after care and 77.2% after 4 hours; the incidence of fetor oris and stomatitis were 22.7% and 13.6% respectively. The differences of all the four indicators between the two groups has reached statistical significance(P ＜ 0. 05). Conclusions The oral care effects of tooth-brushing with 0.05% iodophor were much better than oral cotton scrubbing with 0.05% iodophor for the patients with orotracheal intubation.