摘要
目的探讨气管插管患者首次口腔护理时间与早发性呼吸机相关肺炎发生的相关性。方法选取医院2020年5月至2021年8月收治并行气管插管的患者150例,按插管后首次口腔护理时间的不同分为甲组、乙组、丙3组,各50例,分别在气管插管后4 h内、4~8 h、8~12 h完成首次口腔护理。结果3组早发性呼吸机相关肺炎发生率及病死率比较,差异无统计学意义(P>0.05);3组呼吸科重症监护室(RICU)入住时间及机械通气时间比较,差异有统计学意义(P<0.05)。结论气管插管患者首次口腔护理时间延迟,会明显延长RICU入住时间及机械通气时间,且在一定程度上增加早发性呼吸机相关肺炎的发生概率及病死率。临床护理中应予以重视,并尽早开展首次口腔护理。
Objective To investigate the correlation of first oral care and the occurrence of early-onset ventilator-associated pneumonia in patients with tracheal intubation.Methods A total of 150 patients with tracheal intubation admitted to the hospital from May 2020 to August 2021 were selected and divided into group A,group B,and group C according to the first oral care time after intubation,with 50 cases in each group.The patients in the three groups completed the first oral care within four hours,four to eight hours,and eight to twelve hours after tracheal intubation,respectively.Results There was no statistically significant difference in the incidence and mortality rates of early onset ventilator-associated pneumonia among the three groups(P>0.05).There was a statistically significant difference in the length of stay and the respiratory intensive care units(RICU)mechanical ventilation time among three groups(P<0.05).Conclusion Delaying the initial oral care time for patients undergoing tracheal intubation can significantly prolong the stay in the RICU and mechanical ventilation time,and increase the probability and mortality rate of early-onset ventilator-associated pneumonia to some extent.Attention should be paid to clinical nursing and the first oral care should be carried out as soon as possible.
作者
令狐昌会
LINGHU Changhui(The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,China 550000)
出处
《中国药业》
CAS
2023年第S02期198-200,共3页
China Pharmaceuticals
关键词
气管插管
早发性呼吸机相关肺炎
首次口腔护理
机械通气时间
tracheal intubation
early-onset ventilator-associated pneumonia
first oral care
mechanical ventilation time
