不同口腔护理方法对降低经口气管插管患者呼吸机相关性肺炎发生的影响

Effects of different oral cares on VAP induced by oral trachea cannulation

目的探讨经口气管插管患者机械通气期间降低口腔感染和呼吸机相关性肺炎(ventilator associated pneumonia,VAP)发生的方法。方法将60例经口气管插管行机械通气患者分为实验组和对照组,每组各30例,实验组采用刷牙冲洗方法进行口腔护理,对照组采用棉球擦拭方法。观察两组患者口腔感染和VAP的发生率。结果实验组患者口腔感染和VAP发生率低于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论与传统口腔护理方法比较,采用刷牙冲洗方法能降低口气管插管患者机械通气期间口腔感染及VAP发生率,值得临床推广应用。

Objective To find out an effective method for oral care to patients with ventilator associated pneumonia(VAP) induced by oral tracheal intubation.Methods Sixty patients undergoing oral tracheal intubation were randomized equally into experimental group and control group: the former did oral care by tooth-brushing and the latter by cleaning with cotton balls.The two groups were compared in terms of the incidences of oral infection and VAP.Result The incidences of both oral infection and VAP in the experimental group were significantly lower than those in the control group(P<0.01 for both).Conclusion Compared to the routine method for oral care,cleaning by tooth-brushing can lower the incidences of both oral infection and VAP induced by oral tracheal intubation.