经口气管插管患者两种口腔护理方法的比较

Clinical comparison of two oral care methods in orotracheal intubation

目的探讨生理盐水联合复方茶多酚含漱液(口灵)进行口腔护理的疗效。方法将2010年11月至2011年4月89例经口气管插管患者随机分为对照组43例和观察组46例,对照组常规单纯应用生理盐水进行口腔擦洗和冲洗,观察组在对照组治疗基础上,加用口灵涂擦进行口腔护理,比较护理1周后的效果。结果观察组口臭、口腔痰痂及溃疡、真菌感染、疱疹发生率均低于对照组(P<0.05)。结论用生理盐水擦洗和冲洗加口灵涂擦的口腔护理方法效果优于单纯应用生理盐水口腔擦洗的护理方法。

Objective To explore the curative effect of oral care by saline and Compound Polyphenols Gargle（Kouling）.Methods 89 patients with orotracheal intubation from November 2010 to November 2011 were randomly divided into the control group（n=43） and the observation group（n=46）.The control group was given with simple saline oral scrubing and flushing,while the observation group was added Kouling for scrubing and flushing on the base of the control group.The clincal effects after 1-week nursing care were compared between the two groups.Results The incidence rates of ozostomia,oral sputum scab,ulcer,fungi and herpes were significantly lower than those in the control group（P〈0.05）.Conclusion The clincal effect of oral care using saline for scrubing and flushing and Kouling for scrubing in the patients with orotracheal intubation is better than that of simple saline oral scrubing.