改良口腔护理对经口气管插管患者呼吸机相关性肺炎的影响

Effects of modified oral nursing on ventilator-associated pneumonia in patients with orotracheal intubation

目的:观察改良口腔护理对经口气管插管患者呼吸机相关性肺炎的影响。方法:选取120例经口腔气管插管患者为研究对象,采取抽签法随机分为观察组和对照组,各60例,给予对照组患者常规护理,给予观察组患者改良护理,比较两组患者治疗效果。结果:观察组患者口腔并发症改善情况明显优于对照组,观察组总体VAP风险(13.3%)显著低于对照组(38.3%),口腔清洁度明显优于对照组(90.0%),差异均有统计学意义(P<0.05)。结论:改良口腔护理能够显著降低经口气管插管VAP风险。

Objective:To analyze effects of modified oral nursing on the risk of ventilator-associated pneumonia(VAP)in patients with orotracheal intubation so as to provide a reference for the clinical nursing.Methods:120 patients with orotracheal intubation were selected as the study subjects.They were divided into observation group(n=60)and control group(n=60)by using the lot method.The control group was given routine nursing,while the observation group was given the modified nursing.The therapeutic effects of the two groups were analyzed.Results:The improvement of oral complications in the observation group was significantly better than that in the control group.The overall VAP risk(13.3%)was significantly lower in the observation group than in the control group(38.3%),the satisfaction rate(98.3%)was significantly higher than that of the control group(90.0%),and the differences were statistically significant(P<0.05).Conclusions:Modified oral nursing can significantly reduce the risk of VAP in the patients with orotracheal intubation.