2.5%碳酸氢钠在重症神经疾病患者口腔护理中的应用

The Application of 2. 5% Sodium Bicarbonate on Severe Neurological Diseases Patients in Oral Care

目的探讨2.5%碳酸氢钠在重症神经疾病患者口腔护理中的应用价值。方法把收住在我附院神经外科的68例重症神经疾病患者,随机分成观察组(35例)和对照组(33例);观察组予2.5%碳酸氢钠注射液口腔护理,对照组予生理盐水。口腔护理操作方法相同,每天操作2次,疗程均为14天,分别于第7天及第14天观察两组患者医院获得性肺炎的发生率;及行痰真菌培养检查,观察两组肺部真菌感染发生率。结果观察组医院获得性肺炎及肺部真菌感染率少于对照组,两组比较有统计学意义(P<0.05)。结论以2.5%碳酸氢钠注射液进行口腔护理,能有效减少重症神经疾病患者医院获得性肺炎及肺部真菌感染的发生率。

Objective To investigate the application value of the application of 2.5% Sodium Bicarbonate on oral care for severe neurological diseases patients. Methods Randomly dividing 68 cases of severe neurological diseases patients from our hospital into observation group （35 cases） and model group （33 cases）, for which treating with observation group with 2.5% Sodium Bicarbonate oral care and with normal saline for model group. Same oral care operational approach for the two groups, that is, twice a day, 14 days＇ treatment, and examinations for incidence rate of nosocomial pneumonia for the two groups on 7th day and 14th day respectively,sputum culture examinations to compare incidence rate of fungal infections in lungs for the two groups. Results The incidence rate for patients from oberservation group to receive nosocomial pneumonia and fungal infections in lungs is lower than that of model group, and the two groups are statistically significant （P〈0.05）. Conclusion Oral care with 2.5% sodium bicarbonate injection can effectively reduce incidence rate of nosocomial pneumonia and fungal infections in lungs for severe neurological diseases patients, which is worth popularizing in clinical practice.