摘要
目的探讨苯扎氯铵口腔护理对预防脑梗死机械患者发生呼吸机相关肺炎(Ventilator Associated Pneumonia,VAP)的作用。方法选取在2013年7月—2016年10月期间该院重症监护病房(Intensive Care Units,ICU)收治的大面积脑梗死行气管插管,呼吸机械通气患者,依据家属自愿原则分为观察组50例,对照组50例。观察组采取苯扎氯铵口腔护理方法(3次/d),对照组采用口腔常规棉球擦拭的护理方法(3次/d),分析二种口腔护理方法对口腔功能改善和VAP发生率的影响。结果观察组患者的口腔功能较对照组显著改善,观察组患者的VAP发生率明显低于对照组,差异具有统计学意义(P<0.05),观察组患者的VAP千日感染率低于对照组(P<0.05)。结论苯扎氯铵口腔护理可以有效降低大面积脑梗死机械通气患者VAP的感染率。
Objective To observe the effects of different ways of oral care preventing ventilator associated pneumonia in cerebral infarction patients .Methods One hundred cerebral infarction patients with mechani‐cal ventilation in ICU during Junly 2013 to October 2016 were divided into study group （50 cases） and con‐trol group （50 cases） .The study group received oral nursing by Benz - alkonium Chloride 3 times per day , while the control group was given oral nursing by Stroke - physiological saline solution 3 times per day . And then we analyzed the impact of two methods on oral function and the incidence of VAP .Results The oral function of the study group was improved significantly and the incidence of VAP of the study group was significantly lower than that of the control group , the difference was statistically significant （ P〈0 .05） .The VAP incidence rate of every 1000 days of the study group was significantly lower than that of the control group ,the difference was also statistically significant （P〈0 .05） .Conclusions Oral nursing by Benz - alkonium Chloride can significantly improve the oral function ,reduce VAP infection rate and VAP incidence rate of every 1 000 days in cerebral infarction patients with mechanical ventilation.
出处
《中国煤炭工业医学杂志》
2016年第12期1784-1786,共3页
Chinese Journal of Coal Industry Medicine
基金
河北省2015年度医学科学研究重点课题计划项目(编号:20150506)
关键词
口腔护理
呼吸机相关肺炎
脑梗死
预防
Oral care
Ventilator associated pneumonia
Cerebral infarction
Prevention
