摘要
目的探讨洗必泰刷牙冲洗法对预防气管插管病人呼吸机相关性肺炎(VAP)的作用。方法将200例经口气管插管病人随机分为2组:试验组100例,对照组100例。试验组采用改良口腔护理方法(0.12%洗必泰30ml+刷牙+冲洗),对照组采用传统棉球擦拭口腔护理法。比较2组病人呼吸机相关性肺炎的发生率、机械通气时间、住ICU时间及住院时间。结果试验组VAP发生率、机械通气时间、住重症监护室(ICU)及住院时间方面优于对照组(均p<0.001)。结论经口气管插管病人用改良口腔护理方法,能够彻底清洁口腔,有效预防和减少VAP的发生率,缩短住院时间、降低死亡率。
Objective：To study the function of Chlorhexidine toothbrushing method in prevention of ventilator-associated pneumonia（VAP）.Methods：200 cases of orotracheal intubation were randomly divided into 2 groups：100 cases in observation group and 100 cases in control group.The observation group used improved oral care（0.12%chlorhexidine＋toothbrushing＋flushing）,and the control group used traditional method of oral care.Results：The incidence of VAP,days of mechanical ventilation,duration in intensive care unit（ICU）and hospitation in the observation group were significantly shorter than the control group（all p〈0.001）.Conlusion：Orotracheal intubation patients with improved oral care techniques could clean the mouth thoroughly,prevent and decrease the incidence of VAP effectively.
关键词
气管插管
机械通气
呼吸机相关性肺炎
洗必泰
Orotracheal intubation
Mechanical ventilation
Ventilator related pneumania
Chlorhexidine
