含漱消毒液口腔护理在呼吸机相关性肺炎患者中应用效果.docVIP

含漱消毒液口腔护理在呼吸机相关性肺炎患者中应用效果 　　[摘要]目的 探讨含漱消毒液口腔护理在呼吸机相关性肺炎（VAP）患者中的应用效果。方法 选择2015年12月～2017年1月我院收治的120例行气管插管机械通气患者为研究对象，根据不同的口腔护理方式，随机分为试验组和对照组，每组各69例。对照组给予常规口腔护理，试验组给予含漱消毒液口腔护理。分析两组患者口腔疾患发生情况，比较两组患者VAP发生率和两组VAP患者护理前后口腔细菌培养结果。结果 试验组患者口腔异味、口腔溃疡、口腔血痂发生率均低于对照组，但口腔异味和口腔血痂发生率差异无统计学意义（P0.05）；两组患者口腔溃疡发生率差异有统计学意义（P0.05）。对照组VAP发生率为30.00%，高于试验组的8.33%（P0.05）。?o理后，试验组患者各菌群菌株数均明显低于对照组，两组患者口腔细菌培养结果差异有统计学意义（P0.05）。结论 含漱消毒液口腔护理可减少气管插管患者口腔疾患的发生，降低VAP发生率，改善口腔菌群。 　　[关键词]含漱消毒液；口腔护理；呼吸机相关性肺炎；应用效果 　　[中图分类号] R563.1 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0151-03 　　The application effect of gargle disinfection liquid oral care in patients with ventilator associated pneumonia 　　YE Xiao-ying ZHENG Xiao-fang AI Fang-fang SHE Ji-lan XU Shu-juan WANG Sheng-li 　　Department of ICU，the People′s Hospital of Yingtan City，Jiangxi Province，Yingtan 335000，China 　　[Abstract]Objective To explore the application effect of gargle disinfection liquid oral care in patients with ventilator associated pneumonia（VAP）.Methods 120 cases of tracheal intubation mechanical ventilation in our hospital from December 2015 to January 2017 were selected as the research object.According to different oral care methods，they were randomly divided into experimental group and control group，60 cases in each group.The control group received conventional oral care，the experimental group was given oral care gargle disinfection solution.The incidence of oral diseases in two groups was analyzed.The incidence of VAP in two groups and the results of oral bacterial culture before and after nursing in two groups of patients with VAP were compared.Results The results of the experimental group of patients with oral odor，oral ulcers，oral blood scab incidence was lower than the control group，two groups of patients with halitosis and oral blood scab there was no significant difference between them（P0.05）；two groups of patients with oral ulcer incidence rate difference was statistically significant（P0.05）.The incidence of VAP in the control