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危重患者口腔护理的临床意义 被引量:9

The clinical significance of oral care in critically ill patients
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摘要 目的探讨用0.12%洗必泰和0.5%聚维酮碘进行口腔护理在治疗医院获得性肺炎和呼吸机相关性肺炎的疗效情况。方法通过对常用的0.5%聚维酮碘与0.12%洗必泰口腔护理疗效比较,分析0.12%洗必泰口腔护理的临床价值。结果采用0.12%洗必泰口腔护理方法在防止医院获得性肺炎比0.5%聚维酮碘方法具有优势(│t│=3.325>t(0.05,56),χ2=6.117,P=0.013)。同时包括减少呼吸机相关性肺炎的发生(t=2.563>t(0.05,56),χ2=4.667,P=0.031)。结论 0.12%洗必泰口腔护理方法减少医院获得性肺炎及呼吸机相关肺炎的发生,提高护理质量。 Objective Explore the curative effect wash with O. 12% will be with 0. 5% povidone iodine for oral care in the treatment of hospital - acquired pneumonia(HAP) and ventilator - associated pneumonia. Methods By comparing the treatment role of chlorhexidine gluconate (0. 12% ) with 0. 5% povidone iodine suppositories, we analyzed the significance of chlorhexidine gluconate (0. 12% ) in reducing the frequency of HAP or VAP. Results The occurrence of HAP was significantly less on six subscales in the ehlorhexidine gluconate (0. 12% ) group than the 0. 5% povidone iodine suppositories group( | t | =3. 325 〉 t(0.05,56) ,X2 =6. 117 ,P =0. 013). At the same time, The frequency of VAP were lower in the chlorhexidine gluconate (0. 12% ) group than the 0. 5 % povidone iodine Suppositories group( t = 2. 563 〉 t(0.05,56) ,X2 =4. 667 ,P = 0. 031 ). Conclusion Our findings suggest that the standard oral care with 0. 12% chlorhexidine digluconate is effective for the prevention of HAP and VAP. The oral care protocols may improve the status of in critically ill patients.
出处 《中外医学研究》 2012年第3期108-109,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 口腔护理 神经外科 0.12%洗必泰 医院获得性肺炎 呼吸机相关肺炎 Oral care Neurosurgery Chlorhexidine gluconate (0. 12% ) HAP VAP
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共引文献16

同被引文献62

  • 1王秀华,龙艳,刘娟,连丽红.护士对危重患者口腔护理认知状况的调查分析[J].现代临床医学,2009,35(2):145-146. 被引量:7
  • 2关素香.腭裂修复术前后清洁口腔方法的选择[J].菏泽医学专科学校学报,2001,13(3):75-77. 被引量:4
  • 3蒋红燕.气管插管术后口腔护理方法的改进[J].湖南中医药大学学报,2010,30(10):74-75. 被引量:11
  • 4佟环宇,都菁,邓海波.口腔护理的临床研究现状.中国实用护理杂志,2010,26(增刊):132.
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