双花饮口腔护理预防呼吸机相关性肺炎效果分析
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R563.1;R248

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Analysis of Effect of Oral Nursing with Shuanghua Yin in Prevention of Ventilator- Associated Pneumonia
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    摘要:

    目的:观察双花饮口腔护理预防呼吸机相关性肺炎(VAP) 的效果。方法:将100 例机械通气患者随机分为对照组和观察组各50 例。2 组均给予体位管理、气囊管理、吸痰、呼吸机管路管理等护理措施,对照组使用医用洗必泰消毒棉球进行口腔护理,观察组使用双花饮进行口腔护理。疗程直到去除机械通气治疗。记录2 组患者的机械通气时间、住院时间,统计2 组的VAP 发生率、真菌感染率及口臭、牙龈肿胀、口腔溃疡等口腔疾病的发生率。结果:观察组VAP 发生率为16.00%,对照组 为36.00%,2 组比较,差异有统计学意义(P<0.05)。观察组真菌感染发生率为20.00%,对照组为46.00%,2 组比较,差异有统计学意义(P<0.01)。观察组机械通气时间及住院时间均短于对照组,差异均有统计学意义(P<0.01)。观察组口臭、牙龈肿胀、口腔溃疡的发生率均低于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论:使用双花饮进行口腔护理,有助于降低VAP 和真菌感染的发生率,改善患者的口腔卫生,缩短机械通气时间、住院时间,有效预防VAP。

    Abstract:

    Abstract: Objective: To observe the effect of oral nursing with Shuanghua yin in prevention of ventilator- associated pneumonia(VAP). Methods:A total of 100 cases of patients supported by mechanical ventilation were randomly divided into the control group and the observation group,50 cases in each group. Both groups were given management of posture,air sac,ventilator pipe,sputum suctioning,and other nursing measures;the control group was additionally given oral nursing with sterilized cotton ball dampened with medical chlorhexidine; the observation group was additionally given oral nursing with Shuanghua yin. The treatment was carried out until the removal of mechanical ventilation. Duration of mechanical ventilation and hospital stays was recorded in the two groups. The incidence of VAP,the rate of fungal infection,and the incidence of oral diseases including halitosis,swollen gums,and oral ulcer were counted in the two groups. Results:The incidence of VAP was 16.00% in the observation group and 36.00% in the control group,the difference being significant(P< 0.05). The rate of fungal infection was 20.00% in the observation group and 46.00% in the control group,the difference being significant(P<0.01). Duration of mechanical ventilation and hospital stays in the observation group were shorter than those in the control group, differences being significant(P<0.01). The incidence of halitosis, swollen gums, and oral ulcer in the observation group were lower those that in the control group,differences being significant(P<0.05,P<0.01). Conclusion: Oral nursing with Shuanghua yin conduces to reducing the incidence of VAP and fungal infection, improving oral hygiene, shortening duration of mechanical ventilation and hospital stays,and effectively preventing VAP.

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傅海虹,夏海燕.双花饮口腔护理预防呼吸机相关性肺炎效果分析[J].新中医,2021,53(12):181-184

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  • 在线发布日期: 2021-06-23
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