护理学报Issue(10)：5-8,4.
经口气管插管患者0.12%氯己定联合负压吸引式牙刷刷牙的效果观察
Effect of 0.12%Chlorhexidine with Negative Pressure Suction Toothbrush in Orotracheal Intubation Patients
刘晓玲 1李亚洁 2向素英 1王婉洁3
作者信息
- 1. 南方医科大学南方医院 临床护理教研室，广东 广州 510515
- 2. 深圳市中医院ICU，广东 深圳 518033
- 3. 深圳市中医院ICU，广东 深圳 518033
- 折叠
摘要
Abstract
Objective To explore the effect of 0.12% chlorhexidine with negative pressure suction toothbrush in patients with mechanical ventilation through orotracheal intubation. Methods Seventy patients undergoing mechanical ventilation through orotracheal intubation from October 2012 to November 2013 were randomly divided into observation group ( n=35, but 2 patients were removed) and control group (n=35). With 0.12%chlorhexidine as standard oral care solution, negative pressure toothbrush was applied in observation group for oral care while in control group traditional mouth scrubbing was used for 4 times/d for seven days. Oropharyngeal bacterial culture detection rate before and after oral care was compared and the incidence of oral odor two hours after oral care and ventilator-associated pneumonia (VAP) were recorded. Results The oropharyngeal bacterial culture detection rate and incidence of oral odor and VAP in observation group were lower than those in control group ( P<0.05). Conclusion 0.12%chlorhexidine with negative pressure suction toothbrush is beneficial to eliminating bad breath, reducing oropharyngeal bacterial propagation and the incidence of VAP for patients with mechanical ventilation through orotracheal intubation.关键词
机械通气/口腔护理/氯己定/负压吸引式牙刷Key words
mechanical ventilation/oral care/chlorhexidine/negative pressure suction toothbrush分类
医药卫生引用本文复制引用
刘晓玲,李亚洁,向素英,王婉洁..经口气管插管患者0.12%氯己定联合负压吸引式牙刷刷牙的效果观察[J].护理学报,2014,(10):5-8,4.
