碳酸氢钠口腔干预护理预防危重患者口腔感染的效果

发布时间：2018-03-14 20:42

本文选题：危重患者　切入点：碳酸氢钠　出处：《中华医院感染学杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的明确碳酸氢钠口腔干预对危重患者口腔感染的预防效果,为有效预防口腔感染提供参考依据。方法选取2011年1月-2015年9月住院危重患者986例,采用随机数表法分为观察组和对照组,观察组493例患者使用碳酸氢钠擦拭、漱口,对照组493例患者使用生理盐水擦拭、漱口,比较两组患者干预后口腔感染率、菌株分布,数据采用SPSS 19.0软件进行统计分析。结果观察组患者干预后1、2周口腔感染率分别为3.45%、4.87%,低于对照组的8.92%、14.81%,差异有统计学意义(P0.04);两组患者共检出143株病原菌,以白色假丝酵母菌为主,共93株占65.04%;干预后,观察组、对照组患者的口腔评分均明显降低,且观察组变化更明显。结论碳酸氢钠口腔干预能够有效降低住院危重患者口腔感染率,减少口腔并发症发生率。
[Abstract]:Objective to determine the preventive effect of oral intervention with sodium bicarbonate on oral infection in critically ill patients, and to provide a reference basis for effective prevention of oral infection. Methods from January 2011 to September 2015, 986 critically ill patients were selected. 493 patients in the observation group were cleaned with sodium bicarbonate and gargle, and 493 patients in the control group were cleaned with physiological saline. The oral infection rate and the distribution of strains were compared between the two groups after intervention. Data were analyzed by SPSS 19.0 software. Results the oral cavity infection rate in the observation group was 3.45 卤4.87 weeks after intervention, which was lower than that in the control group (8.92%, 14.81%), and the difference was statistically significant (P0.040.143 strains of pathogenic bacteria were detected in the two groups, the main pathogens were Candida albicans. After intervention, the oral scores of the patients in the observation group and control group were significantly decreased, and the changes in the observation group were more obvious. Conclusion the oral infection rate of the critically ill patients in hospital can be effectively reduced by the oral intervention of sodium bicarbonate. To reduce the incidence of oral complications.
【作者单位】：河北医科大学第一医院感染性疾病科;河北医科大学第一医院呼吸科;河北医科大学第一医院护理部;河北医大第四医院神经内科;河北医科大学第一医院肝胆外科;
【基金】：河北省卫生厅科研基金资助项目(20130577)
【分类号】：R473.78

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