一种保湿口罩对神经外科张口呼吸重症患者的口腔湿化应用研究

Study on the application of a moisturizing mask for oral moisturization in critically ill patients with open mouth breathing in neurosurgery

目的:探讨新型保湿口罩应用在神经外科张口呼吸重症患者中的口腔湿化效果。方法:2017年8月-2019年7月收治张口呼吸重症患者100例,随机分为两组,各50例。对照组采取临床常规措施;试验组在常规措施基础上给予保湿口罩。比较两组临床效果。结果:试验组口腔黏膜湿化效果、口腔健康状况及72 h呼吸频率均优于对照组,差异有统计学意义(P<0.05)。结论:神经外科张口呼吸重症患者使用保湿口罩,可以保持口腔湿润,改善口干、嘴唇、舌面干燥等情况,降低痰液黏稠性,有效减少口腔并发症,改善护理结局。

Objective:To investigate the effect of new moisturizing mask on oral humidification in critically ill patients with open mouth breathing in neurosurgery.Methods:From August 2017 to July 2019,100 cases of critically ill patients with open mouth breathing were enrolled,they were randomly divided into two groups with 50 cases in each group.The control group took clinical conventional measures.The experimental group was given moisturizing mask on the basis of conventional measures.The therapeutic effects between the two groups was compared.Results:The effects of humidification of oral mucosa,oral health and respiratory rate of 72 h in experimental group were better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The use of moisturizing mask for critically ill patients with open mouth breathing in neurosurgery can keep the mouth moist,improve the dry mouth,lips and tongue,it can also reduce the viscosity of sputum,reduce the complications of oral cavity and improve the nursing outcome.