冲吸并用牙刷护理技术在ICU经口气管插管患者口腔护理中的应用效果

Application effect of flushing and suction combined with toothbrush nursing technology in oral care of ICU patients with oral tracheal intubation

目的探讨冲吸并用牙刷护理技术在重症监护病房(ICU)经口气管插管患者口腔护理中的应用效果。方法选取2022年6-12月湖南省某三甲医院进行中心ICU 2个病区经口气管插管患者384例作为研究对象,中心ICU二区住院的196例患者作为观察组(使用冲吸并用牙刷护理技术),中心ICU一区住院的188例患者作为对照组(使用常规口腔护理技术)。比较2组患者干预前,干预后24、72 h口腔护理质量及口腔异味,以及呼吸机相关性肺炎(VAP)、误吸、牙龈出血、口腔溃疡发生情况等。结果观察组患者改良Beck口腔评分、口腔异味评分,以及VAP、口腔溃疡发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论冲洗并用牙刷护理技术在ICU经口气管插管患者中应用能有效清洁口腔,减轻口腔异味,降低VAP、口腔溃疡发生率。

Objective To explore the application effect of suction and toothbrush nursing technology in oral care of patients with orotracheal intubation in intensive care unit(ICU).Methods A total of 384 patients with orotracheal intubation in two wards of central ICU in a tertiary hospital in Hunan Province from June to December 2022 were selected as the research objects.A total of 196 patients hospitalized in the second district of the central ICU were treated as the observation group(using suction and toothbrush care technology),and 188 patients hospitalized in the first district of the central ICU were treated as the control group(using conventional oral care technology).The quality of oral care,oral odor,ventilator-associated pneumonia(VAP),aspiration,gingival bleeding and oral ulcer were compared between the two groups before intervention,24 and 72 hours after intervention.Results The modified Beck oral score,oral odor score,and the incidence of VAP and oral ulcer in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Flushing and toothbrush nursing technology in ICU patients with orotracheal intubation can effectively clean the mouth,reduce oral odor,reduce the incidence of VAP and oral ulcer.