摘要
目的:探讨改良口腔护理方法在预防呼吸机相关性肺炎(VAP)中的应用。方法:将116例行气管切开机械通气治疗48 h以上患者随机分为观察组64例和对照组52例,对照组采用生理盐水棉球顺序擦洗法行口腔护理,观察组采用生理盐水冲洗法行口腔护理,观察两组机械通气1周、2周及2周后VAP发生率以及机械通气持续时间。结果:机械通气1周、2周观察组VAP发生率低于对照组(P<0.05),机械通气时间短于对照组(P<0.01)。结论:改良口腔护理方法可显著减少VAP的发生率,缩短机械通气时间。
Objective ： To study the application of improved oral nursing method to the prevention of ventilator - associated pneumonia （VAP）. Methods： One hundred and sixteen patients who were performed tracheotomy for mechanical ventilation over 48 hours were randomly divided into observation group （ n = 64 ） and contol group （ n = 52 ）. The patients in control group were given oral nursing care by cleaning mouths with cotton swab of normal saline in order and the patients in observation group were given rinse with normal saline, observing the incidence of VAP in the first, second week and later on after mechanical ventilation and the duration of ventilation. Results： The incidence of VAP in observation group was lower than that in control group in the first and second week for mechanical ventilation （ P 〈 0. 05 ） and the duration was shorter in observation group than that in control group （P 〈 0. 01 ）. Conclusion： Improved oral nursing method can effectively decrease the incidence of VAP and shorten the duration of mechanical ventilation.
出处
《齐鲁护理杂志》
2008年第10期15-16,共2页
Journal of Qilu Nursing
