不同口腔擦拭液预防机械通气患者VAP的疗效比较被引量：1

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摘要目的比较氯己定液与常规生理盐水等不同口腔擦拭液预防机械通气患者呼吸机相关性肺炎(VAP)的临床效果。方法 132例行机械通气治疗的患者随机分为两组,对照组(n=65例)采用常规生理盐水行口腔擦拭,观察组(n=67例)采用氯己定液行口腔擦拭。比较两组口腔菌落变化、pH值、口腔溃疡及VAP发生率、口腔异味、恶心和口干等反应。结果两组患者口腔擦拭前菌落比较无显著差异性(P>0.05),口腔擦拭后两组患者口腔菌落均明显减少(P<0.05),且观察组减少更为显著(P<0.05);两组口腔p H值比较无显著差异性(P>0.05),而观察组口腔溃疡及VAP发生率明显低于对照组(P<0.05);观察组口腔擦拭后口腔异味、恶心和口干等反应明显少于对照组(P<0.05)。结论机械通气患者采用氯己定液行口腔擦拭可以明显减少口腔菌落,降低口腔溃疡和VAP发生率,且不会造成患者口腔异味、恶心和口干等反应。

作者史艳妮陈春艳

机构地区黄石市中心医院(湖北理工学院附属医院)重症医学科

出处《临床肺科杂志》 2015年第1期155-157,共3页 Journal of Clinical Pulmonary Medicine

关键词机械通气患者口腔溃疡 VAP 擦拭预防呼吸机相关性肺炎疗效口腔异味

分类号 R563.1 [医药卫生—呼吸系统]

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参考文献11

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