现代医药卫生2025，Vol.41Issue(3)：674-679,6.DOI:10.3969/j.issn.1009-5519.2025.03.022
口腔冲刷护理预防糖尿病患者有创机械通气呼吸机相关性肺炎的应用研究
An applied study of oral flushing care for the prevention of ventilator-associated pneumonia in diabetic patients on invasive mechanical ventilation
摘要
Abstract
Objective To explore the effectiveness and application value of oral flushing care in preven-ting ventilator-associated pneumonia(VAP)during invasive mechanical ventilation in diabetic patients.Methods A total of 122 cases of diabetic patients who received ventilator-assisted respiratory therapy admit-ted to the Department of Intensive Care Medicine of the hospital from June 2022 to April 2024 were selected as the study subjects,and were divided into the observation group and the control group by using the principle of allocation by random number table method,with 61 cases in each group.The control group was given routine care,and the observation group added oral flushing care on the basis of routine care.The time of invasive me-chanical ventilation,incidence of VAP,total hospitalization time,clinical regression,inflammation indexes be-fore and after care,Beck oral score,and incidence of oral complications were compared between the two groups.Logistic regression model was used to analyze the influencing factors for the occurrence of VAP in dia-betic patients with invasive mechanical ventilation.Results The Beck oral score,as well as the incidence of o-ral complications and VAP in patients of the observation group were significantly lower than those in the con-trol group after care[(7.82±1.34)points vs.(9.83±1.40)points,22.95%(14/61)vs.47.54%(29/61),19.67%(12/61)vs.36.07%(22/61)],and the differences were statistically significant(P<0.05);The oc-currence of VAP in diabetic patients with invasive mechanical ventilation in the intensive care unit was signifi-cantly correlated with the patients'conscious state,Beck oral score,and the duration of antimicrobial drug use,and the differences were all statistically significant(P<0.05).Conclusion Oral flushing care is a simple and effective method to significantly improve oral hygiene and reduce the incidence of VAP in diabetic patients with invasive mechanical ventilation,which is worthy of further promotion and application in the clinic.关键词
糖尿病/呼吸机相关性肺炎/口腔冲刷护理/有创机械通气/应用效果Key words
Diabetes mellitus/Ventilator-associated pneumonia/Oral flushing care/Invasive me-chanical ventilation/Application effect分类
医药卫生引用本文复制引用
符淑霞,符琳,黎业钊,欧平雪,黄子高,劳景茂,彭先美..口腔冲刷护理预防糖尿病患者有创机械通气呼吸机相关性肺炎的应用研究[J].现代医药卫生,2025,41(3):674-679,6.基金项目
广西壮族自治区临床重点专科(普通外科)建设项目(桂卫医发[2022]17号) （普通外科）
广西壮族自治区卫生健康委员会自筹经费科研课题(Z-N20221875). （Z-N20221875）
