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使用糖皮质激素吸入剂病人应用碳酸氢钠口腔护理的效果观察 被引量:8

Observation on effect of sodium bicarbonate oral cavity nursing care of patients accepted glucocorticoids inhalation therapy
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摘要 [目的]观察2.5%碳酸氢钠(NaHCO3)行口腔护理对使用糖皮质激素吸入剂病人预防口腔真菌感染的效果。[方法]将46例符合纳入标准的支气管哮喘、重度慢性阻塞性肺疾病病人随机分为两组,两组病人治疗原则相同,观察组病人雾化吸入糖皮质激素后予2.5%NaHCO3口腔护理,对照组病人予以生理盐水口腔护理,观察两组病人口腔黏膜白斑发生率及真菌感染率。[结果]观察组、对照组病人口腔黏膜白斑发生率分别为3.13%、25.00%;真菌感染率分别为0.00%、18.75%,差异均有统计学意义(P<0.05)。[结论]运用2.5%NaHCO3对使用糖皮质激素吸入剂重症病人进行口腔护理可降低口腔白斑发生率和真菌感染率。 Objective:To observe the effect of preventing oral fungal infection of sodium bicarbonate oral cavity nursing for patients accepted glucocorticoids inhalation therapy. Methods: A total of 46 bronchial asthma and severe COPD patients were randomly divided into two groups. Therapeutic principles for both groups cases were the same. Patients in observation group were given sodium bicarbonate oral cavity nursing after glucocorticoids atomization inhalation. However, patients in control group were given normal saline oral cavity nursing. Then the incidence rate of oral leukoplakia and the fungal infection rate of the two groups were observed. Results:The incidence rate of oral leukoplakia of the two groups patients were 3. 13% and 25.00% respectively. The fungal infection rates of the two group cases were 0.00% and 18.75%. There were statistical significant differences between the two groups (P〈0.05). Conclusion:Using sodium bicarbonate oral cavity nursing for severe asthma patients accepting glucocorticoids inhalation can reduce the incidence rate of oral leukoplakia and the fungal infection rate.
出处 《全科护理》 2010年第14期1234-1235,共2页 Chinese General Practice Nursing
关键词 碳酸氢钠 口腔护理 糖皮质激素 真菌感染 口腔白斑 sodium bicarbonate oral cavity nursing care glucocorticoids fungal infection oral leukoplakia
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