ICU气管插管患者应用电动牙刷预防口腔感染的研究

发布时间：2018-01-17 19:22

本文关键词：ICU气管插管患者应用电动牙刷预防口腔感染的研究　出处：《中华医院感染学杂志》2016年20期 　论文类型：期刊论文

【摘要】：目的探讨电动牙刷对重症监护病房(ICU)气管插管患者预防口腔感染的效果,以减少口腔感染率。方法选择2012年6月-2014年12月于医院ICU经口气管插管患者398例,按照患者个人意愿分为观察组和对照组,每组199例,对照组采用常规口腔干预,观察组采用电动牙刷刷洗进行干预,两组患者均连续干预7d,检测患者口腔细菌阳性率,观察患者口腔异味和口腔残留物次数,黏膜损伤发生率和口腔感染率及牙菌斑平均指数。结果观察组患者7d干预中口腔细菌阳性率为2.01%、口腔异味139次占4.99%、无口腔残留物,对照组患者干预中口腔细菌阳性率为35.00%、口腔异味1 356次占48.67%、口腔残留物418次占15.00%,观察组患者各项数据均低于对照组,差异有统计学意义(P0.01);观察组口腔黏膜损伤率为1.01%,低于对照组13.06%,差异有统计学意义(P0.05);观察组无口腔感染,对照组口腔感染率为3.52%,差异有统计学意义(P0.05);干预前两组患者牙菌斑平均指数比较,差异无统计学意义,干预后观察组牙菌斑平均指数与对照组比较差异有统计学意义(P0.01),且低于对照组。结论电动牙刷刷牙可明显降低患者口腔细菌阳性率、减少口腔异味和口腔残留物,能有效去除牙菌斑,减少口腔黏膜损伤率和口腔感染率
[Abstract]:Objective to investigate the effect of electric toothbrush on prevention of oral infection in patients with endotracheal intubation in intensive care unit (ICU). Methods from June 2012 to December 2014, ICU patients with oral tracheal intubation were divided into observation group and control group according to the individual wishes of the patients. 199 patients in each group were treated with routine oral intervention in the control group, and those in the observation group were treated with electric toothbrush for 7 days. The positive rate of bacteria in the oral cavity of the patients was detected. The frequency of oral odour, the frequency of oral residue, the incidence of mucosal injury, the oral infection rate and the mean index of dental plaque were observed. Results the positive rate of oral bacteria in the observation group was 2.01% in 7 days intervention. The positive rate of oral bacteria was 35.00 in the control group, and 1 356 in the control group, and 48.67% in the control group. Oral residue accounted for 15. 00 times. The data of patients in the observation group were lower than those in the control group, the difference was statistically significant (P 0. 01). The rate of oral mucosal injury in the observation group was 1.01, which was lower than that in the control group 13.06 (P 0.05). There was no oral infection in the observation group, and the oral infection rate in the control group was 3.52. The difference was statistically significant (P 0.05). There was no significant difference in dental plaque mean index between the two groups before intervention, but there was significant difference between the observation group and the control group (P 0.01). Conclusion brushing with electric toothbrush can significantly reduce the positive rate of bacteria in the oral cavity, reduce the odour and residual matter in the oral cavity, effectively remove dental plaque, reduce the rate of oral mucosal injury and oral infection rate.
【作者单位】：天津医科大学第二医院ICU;天津儿童医院新生儿内科;
【基金】：天津市卫计委科技基金资助项目(2013KZ101)
【分类号】：R472.2
【正文快照】： 重症监护病房(ICU)收治的多为危急重患者,经口气管插管是维持患者生命体征的有效措施之一[1-2]。由于插管,患者不能经口进食,使唾液分泌减少,致口腔自洁作用减弱,造成口腔内细菌快速繁殖,造成口腔感染。由于患者机体免疫力下降,口咽部聚集大量的病原菌,可引起呼吸机相关性肺炎

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