中药漱口个性化口腔护理在ICU 患者中的应用效果
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R248

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余姚市人民医院一般项目(2018YA19)


Application Effect of Personalized Oral Nursing with Chinese Medicine Gargling for Patients in ICU
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    摘要:

    目的:观察中药漱口个性化口腔护理在重症监护室(ICU) 患者中的应用效果。方法:选取本院ICU收治的200例患者,按随机数字表法分为对照组和观察组各100例。对照组给予0.2%复方氯己定含漱液进行冲洗并实施常规护理,观察组则给予中药漱口个性化口腔护理干预,2组均护理5 d。对比2组ICU住院天数、气管插管天数、护理5 d后并发症发生情况及护理前后的口腔护理评分。结果:观察组患者ICU住院天数、气管插管天数均少于对照组,差异均有统计学意义(P<0.05)。护理5d后,观察组口腔异味,口腔溃疡、糜烂,牙菌斑,真菌感染,呼吸机相关性肺炎(VAP) 发生率均低于对照组,差异均有统计学意义(P<0.05)。护理后,2 组口腔护理评分均较护理前降低(P<0.05),观察组口腔护理评分比对照组降低更明显(P<0.05)。结论:中药漱口个性化护理干预可以减少口腔并发症发生,预防口腔感染。

    Abstract:

    Abstract:Objective:To observe the application effect of personalized oral nursing with Chinese medicine gargling for patients in intensive care unit(ICU). Methods: Selected 200 cases of patients admitted into ICU of our hospital, and divided them into the control group and the observation group according to random number table, 100 cases in each group. The control group received oral rinse with 0.2% compound chlorhexidine gargling liquid and routine nursing,while the observation group received personalized oral nursing with Chinese medicine gargling. The nursing in both groups lasted for 5 days. Compared the hospitalization days in ICU,the days of endotracheal intubation,the occurrence of complications after 5 days of nursing,and the scores of oral nursing before and after nursing intervention in the two groups. Results: The hospitalization days in ICU and the days of endotracheal intubation in the observation group were obviously less than those in the control group,difference being significant(P<0.05). After 5 days of nursing,the incidences of oral odor,oral ulcer, erosion, dental plaque, fungal infection and ventilator- associated pneumonia(VAP) in the observation group were respectively lower than those in the control group, differences being significant(P<0.05). After nursing interventions, the scores of oral nursing in both groups were lower than those before nursing(P<0.05),and the scores of oral nursing in the observation group were decreased more obviously than those in the control group(P<0.05). Conclusion:The intervention of personalized oral nursing with Chinese medicine gargling liquidcan reduce oral complications and prevent oral infection.

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沈敏丽,方芳,魏鲜,马丽娟,赵波波.中药漱口个性化口腔护理在ICU 患者中的应用效果[J].新中医,2020,52(8):176-178

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  • 在线发布日期: 2020-04-25
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