软毛牙刷刷牙预防重症监护室老年患者呼吸机相关肺炎的效果研究

Prevention effect of soft—bristled toothbrush on elderly patients with ventilator—associated pneumonia in ICU

目的:探讨软毛牙刷刷牙对降低重症监护室老年患者呼吸机相关肺炎(VAP)发病率的影响。方法:选取2016-01~06我院ICU住院行机械通气的老年患者168例(至少有20颗牙齿)为研究对象,随机分为干预组和对照组,干预组给予儿童软毛牙刷刷牙,2/d,同时实施常规口腔护理;对照组实施常规口腔护理,计算两组VAP的发病率。结果:干预组老年患者VAP发病率明显低于对照组(P<0.01)。老年患者VAP的发病率与吸烟史、基础疾病、住院时间及年龄具有显著相关性(P<0.05,P<0.01)。结论:软毛牙刷刷牙能有效降低机械通气老年患者VAP的发病率,具有临床推广价值。

Objective： To investigate the prevention effect of soft--bristled toothbrush on elderly patients with ventilator--associated pneumonia （VAP） in intensive care unit （ICU）. Methods..A total of 168 elderly patients with mechanical ventilation of at least 20 teeth were randomly divided into intervention group and control group. Intervention group were given toothbrush twice a day and regular oral care, control group were given regular oral care. The incidence of VAP was calculated. Results：The incidence of elderly VAP in the intervention group was significantly lower than that in the control group （P〈0.01）.The incidence of elderly VAP was significantly correlated with smoking history, underlying disease,hospitalization time and age （P 〈 0.05, P 〈 0.01 ）. Conclusion： The brushing of soft - bristled toothbrush Can effectively reduce the incidence of VAP in old patients with mechanical ventilation and has clinical value.