老年假性延髓性麻痹鼻饲病人预防吸入性肺炎的护理对策

目的]探讨假性延髓性麻痹留置鼻饲管病人采取翻身前口咽部清洗护理的方法对吸入性肺炎发生率的影响。方法]将36例老年假性延髓性麻痹留置鼻饲管病人按入院时间前后分成对照组和观察组,观察组18例在对照组的基础上采取翻身前口咽部清洗护理的方法。研究两组病人吸入性肺炎发生率。结果]观察组和对照组吸入性肺炎发生率分别为11.1%和44.4%,两组比较有统计学意义(P<0.05)。结论]接受翻身前口咽部清洗护理,能有效抑制口腔细菌生长,较好地预防吸入性肺炎的发生,有利于院内感染的控制,减少住院费用,缩短住院时间。

Nursing strategies for prevention of aspiration pneumonia of elderly patients with pseudobulbar palsy and accepting nasal feeding

Objective：To probe into the influence of oropharyngeal wash nursing before turning the body over on the incidence of aspiration pmpneumonia among patients with pseudobulbar palsy.Methods：A total of 36 elderly patients with pseudobulbar palsy and accepting nasal feeding were divided into control group（n=18） and test group（n=18） according to their admission order.Patients in test group accepting oroharyngeal wash nursing before turning the body over based on the nursing in control group cases.Then the incidence of aspiration pneumonia among the two group cases were compared.Results：The incidence of aspiration pneumonia of in test group was 11.1% and 44.4% in control group cases.There was statistical significant difference between the two groups（P0.05）.Conclusion：Oroharyngeal wash nursing before turning the body over for pseudobulbar palsy patients can effectively inhibit bacterial growth in the mouth.It can prevent aspiration pneumonia fr them well.And it is helpful for controlling of nosocomial infection,reducing the cost of hospitalization and shortening hospital stay of patients.