中药口腔护理联合循经拍背在脑卒中患者中的应用效果

Application effect of oral care with traditional Chinese medicine combined with pat back along meridians in stroke patients

目的探讨中药口腔护理联合循经拍背在脑卒中患者中的应用效果。方法选择2018年1月至2020年7月就诊于无锡市中医医院神经内科的96例脑卒中患者作为研究对象,按随机数字表法将其分为对照组与观察组,各48例。对照组行常规口腔护理,观察组行中药口腔护理联合循经拍背干预,连续干预7 d。比较两组患者的干预效果、卒中相关性肺炎(SAP)发生率及干预前后的口腔细菌计数、口臭情况。结果观察组患者的干预总有效率高于对照组,差异有统计学意义(P<0.05)。观察组患者的SAP发生率低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的口腔细菌计数、口臭评分低于干预前,且观察组患者的口腔细菌计数、口臭评分低于对照组,差异有统计学意义(P<0.05)。结论中药口腔护理联合循经拍背能够有效提高治疗效果,降低SAP的发生率和口腔内菌落数量,改善口臭情况。

Objective To explore the application effect of oral care with traditional Chinese medicine combined with pat back along meridians in stroke patients.Methods A total of 96 patients with stroke admitted to Department of Neurology in Wuxi Traditional Chinese Medicine Hospital from January 2018 to July 2020 were selected as the study subjects,and they were divided into the control group and the observation group according to random number table method,with 48 patients in each group.The control group received routine oral care,and the observation group received oral care with traditional Chinese medicine combined with pat back along meridians intervention,continuous intervention for seven days.The intervention effect,the incidence of stroke associated pneumonia(SAP),and oral bacteria count,halitosis before and after intervention were compared between the two groups.Results The total intervention effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of SAP in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the oral bacterial count and halitosis score of the two groups were lower than those before intervention,and the oral bacterial count and halitosis score of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion Oral care with traditional Chinese medicine combined with pat back along meridians can effectively improve the therapeutic effect,reduce the incidence of SAP and the number of oral bacteria,and improve halitosis.