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危重患者口腔护理的临床意义

The clinical significance of oral care in critically ill patients

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【作者】 徐华兰任兴珍

【Author】 XU Hua-lan1,REN Xing-zhen1.Wujin People’s Hospital of Changzhou,Changzhou 213017,China

【机构】 常州市武进人民医院江苏省人民医院

【摘要】 目的探讨用0.12%洗必泰和0.5%聚维酮碘进行口腔护理在治疗医院获得性肺炎和呼吸机相关性肺炎的疗效情况。方法通过对常用的0.5%聚维酮碘与0.12%洗必泰口腔护理疗效比较,分析0.12%洗必泰口腔护理的临床价值。结果采用0.12%洗必泰口腔护理方法在防止医院获得性肺炎比0.5%聚维酮碘方法具有优势(│t│=3.325>t(0.05,56),χ2=6.117,P=0.013)。同时包括减少呼吸机相关性肺炎的发生(t=2.563>t(0.05,56),χ2=4.667,P=0.031)。结论 0.12%洗必泰口腔护理方法减少医院获得性肺炎及呼吸机相关肺炎的发生,提高护理质量。

【Abstract】 Objective Explore the curative effect wash with 0.12% will be with 0.5% povidone iodine for oral care in the treatment of hospital-acquired pneumonia(HAP) and ventilator-associated pneumonia.Methods By comparing the treatment role of chlorhexidine gluconate(0.12%) with 0.5% povidone iodine suppositories,we analyzed the significance of chlorhexidine gluconate(0.12%) in reducing the frequency of HAP or VAP.Results The occurrence of HAP was significantly less on six subscales in the chlorhexidine gluconate(0.12%) group than the 0.5% povidone iodine suppositories group(│t│=3.325>t(0.05,56),χ2=6.117,P=0.013).At the same time,The frequency of VAP were lower in the chlorhexidine gluconate(0.12%) group than the 0.5% povidone iodine suppositories group(t=2.563>t(0.05,56),χ2=4.667,P=0.031).Conclusion Our findings suggest that the standard oral care with 0.12% chlorhexidine digluconate is effective for the prevention of HAP and VAP.The oral care protocols may improve the status of in critically ill patients.

  • 【文献出处】 中外医学研究 ,Chinese and Foreign Medical Research , 编辑部邮箱 ,2012年03期
  • 【分类号】R473.6
  • 【被引频次】8
  • 【下载频次】226
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