0.1%洗必泰口腔冲洗在气管插管患者中的应用

Application of flushing 0.1% chlorhexidine oral care in patients with tracheal intubation

目的探讨使用0.1%洗必泰进行口腔冲洗在气管插管患者中的临床效果。方法选择120例气管插管患者随机分为观察组和对照组,各60例,对照组采用生理盐水纱布进行口腔擦洗,观察组在使用0.1%洗必泰进行口腔擦洗的基础上进行口腔冲洗。比较两组患者口腔定植菌及VAP等并发症的发生情况。结果观察组痰细菌图片培养阳性率降低16.67%;痰培养阳性率降低28.3%;发生VAP风险降低28.33%;呼吸机相关肺炎等护理并发症的发生率明显低于对照组(P<0.05)。结论使用0.1%洗必泰进行口腔冲洗可以降低患者VAP及其他并发症的风险,改善患者预后。

Objective To investigate the clinical effect of 0. 1% chlorhexidine oral rinse in patients with tracheal intubation. Methods 120 patients with tracheal intubation were randomly divided into 2 groups,60 cases in each group, control group was given saline gauze oral scrubbing, observation group used 0. 1 chlorhexidine oral rinse mouth swabs. The oral bacteria colonization and VAP complications of the two groups were compared. Results The sputum bacteria culture positive rate in observation group decreased by 16. 67 % ;the positive rate of sputum culture reduced by 28. 3 ;VAP risk reduced by 28.33. The incidence of ventilator-associated pneumonia was significantly lower than that of control group （ P 〈 0. 05 ）. Conclusion 0. 1% cblorhexidine oral rinse can reduce the risk of VAP and other complication of the patients with tracheal intubation, and can improve the prognosis.