意识障碍患者不同口腔护理频次的效果观察

Application of oral hygiene nursing with different frequency for patients with disorder of consciousness

目的探讨ICU意识障碍患者不同频次口腔护理的效果。方法 ICU意识障碍患者135例随机分为观察组68例和对照组67例,对照组每12 h进行1次口腔护理,观察组每8 h进行一次口腔护理。比较2组第4天、第7天口腔p H值及口腔清洁度。结果观察组干预第4天和第7天口腔p H值高于对照组(P<0.05或P<0.01),口腔清洁度评分低于对照组(P<0.05或P<0.01)。结论每8 h进行1次口腔护理对保证口腔的清洁度具有积极作用。

Objective To investigate the effect of oral hygiene nursing with different frequency for patients with disorder of consciousness. Methods Totally 135 ICU patients with disorder of consciousness were assigned to the observation group（ n = 68） and the control group（ n = 68）.The oral hygiene nursing was carried every 12 hours in the control group and every 8 hours in the observation group. The oral p H and cleaning degree were observed at day 4 and day 7. Results The oral p H in the observation group was higher than that of controls at day 4 and day 7 after intervention（ P〈0. 05 or P〈0. 01）. Patients in the observation group had lower score in cleaning degree assessment compared with that in the control group（ P〈0. 05 or P〈0. 01）. Conclusion Oral care at every 8 hours is potentially effective to improve the oral hygiene of patients with disorder of consciousness.