摘要
目的探讨综合干预措施对降低口腔癌患者术后下呼吸道感染的效果。方法干预组:某院2012年9月—2013年3月收治的146例口腔癌患者,同期在其围手术期加强实施针对预防下呼吸道感染的综合干预措施;对照组:该院2012年3—8月收治的140例口腔癌患者,执行一般诊疗护理常规,比较两组患者术后下呼吸道感染情况。结果干预组患者术后床头抬高30°、术前术后使用复方洗必泰含漱液口腔护理、全麻喉镜头高压灭菌、全麻气管插管前手卫生以及雾化吸入庆大霉素5项干预措施的执行率均高于对照组,差异均有统计学意义(均P<0.01)。干预组下呼吸道感染率为0.68%(1例),低于对照组的5.71%(8例),差异有统计学意义(χ2=4.39,P<0.05)。结论实施综合干预措施,能有效降低口腔癌患者手术后下呼吸道感染率。
Objective To evaluate the effectiveness of comprehensive intervention measures in reducing postopera-tive lower respiratory tract infection （LRTI）in patients with oral cancer.Methods Patients were divided into inter-vention group and control group,intervention group ：146 patients who admitted to a hospital between September 2012 and March 2013 received comprehensive intervention measures during perioperative period for preventing post-operative LRTI;control group：140 patients who admitted to the hospital between March and August 2012 received routine medical care,incidence of postoperative LRTI between two groups was compared.Results The implementa-tion rates of 5 intervention measures of intervention group （30＆#176; bed head elevation,oral rinse with compound chlo-rhexidine gargle,autoclave sterilization of head of laryngoscope used in general anaesthesia,hand hygiene before anaesthe-sia for endotracheal intubation,and gentamycin inhalation）were all higher than control group （all P〈0.01 ）. Incidence of LRTI in intervention group was significantly lower than control group （[0.68% ,n= 1]vs [5.71% ,n=8],χ2= 4.39,P〈0.05）.Conclusion The implementation of comprehensive intervention measures can effectively reduce the incidence of postoperative LRTI in patients with oral cancer.
出处
《中国感染控制杂志》
CAS
北大核心
2015年第7期479-482,共4页
Chinese Journal of Infection Control
基金
南京市医学科技发展基金项目(YKK13150)
关键词
口腔癌
下呼吸道感染
综合干预措施
效果评价
oral cancer
lower respiratory tract infection
comprehensive intervention measure
effectiveness evaluation
