摘要
目的探讨基于循证支持的口腔护理在重症监护室(ICU)气管插管患者中的应用效果。方法在2023年3月—2025年3月选择本院收治的70例ICU气管插管患者,按照干预方法的不同分为两组,每组35例患者。对照组采用常规口腔护理,观察组采用基于循证支持的口腔护理,比较两组口臭和口腔溃疡发生率、牙菌斑指数、口腔环境评分。结果观察组患者的口臭和口腔溃疡发生率较对照组更低(P<0.05);干预后,两组牙菌斑指数均下降(P<0.05),且观察组较对照组更低(P<0.05);干预后,两组牙龈、舌头、口腔黏膜、牙齿、口腔分泌物评分均下降(P<0.05),且观察组较对照组更低(P<0.05)。结论在ICU气管插管患者中采用基于循证支持的口腔护理模式,可降低患者口臭和口腔溃疡发生率,降低其牙菌斑水平,提高口腔内环境质量。
Objective To explore the application effect of oral care based on evidence-based support in patients with tracheal intubation in intensive care unit(ICU).Methods From March 2023 to March 2025,a total of 70 patients with tracheal intubation in ICU were selected and divided into two groups according to different intervention methods.The control group(35 cases)received routine oral care,while the observation group received oral care based on evidence-based support.The incidence of halitosis and oral ulcer,dental plaque index and oral environment score were compared between the two groups.Results The incidence of halitosis and oral ulcer in the observation group was lower than that in the control group(P<0.05).After the intervention,the plaque index of both groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).After intervention,the scores of gums,tongue,oral mucosa,teeth and oral secretions in both groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion The oral nursing model based on evidence-based support in ICU patients with tracheal intubation can reduce the incidence of halitosis and oral ulcer,reduce the level of dental plaque and improve the quality of oral environment.
作者
赵菊昌
苏艳
ZHAO Juchang;SU Yan(The Eighth Department of General Surgery,Lanzhou University Second Hospital,Lanzhou,Gansu 730030)
出处
《智慧健康》
2026年第1期95-98,共4页
Smart Healthcare
关键词
循证支持
口腔护理
重症监护室
气管插管
Evidence-based support
Oral care
Intensive care unit
Tracheal intubation
