术前持续干预性口腔清洁在CABG术后预防VAP的应用研究

Application Research of Preventing VAP with Preoperative Continuous Intervening of Mouth Clean after CABG Surgery

目的：CABG研究术前持续干预性口腔清洁在预防术后VAP发生的影响作用。方法：选择体外循环辅助下不停跳冠状动脉搭桥术的患者84人，随机将其分为试验组和对照组。试验组患者给予持续干预性口腔清洁护理，患者术前除一般宣教内容及术前准备外，着重加入有关保持口腔清洁的宣教及口腔准备。对照组仅给予常规围手术期宣教及准备，不着重进行关于保持口腔清洁的宣教。结果：试验组呼吸机相关性肺炎发生率低于对照组（P＜0．05）。结论：术前持续干预性口腔清洁在CABG术后预防VAP中有重要的影响因素。

Objective：To study the effect of preoperative interventional oral cleaning in prevention of postoperative VAP.Methods：A total of 84patients undergoing CABG aided by extracorporeal circulation were randomly divided into trial group and control group.The control group received regular nursing, whereas patients in the trial group received perioperative interventional oral cleaning on the basis of regular nursing,.Results：The incidence of VAP in trial group is lower than the control group（P＆lt;0.05）.Conclusion：The preoperative interventional oral cleaning has important influence in preventing postoperative VAP.