改良牙垫在预防ICU气管插管患者口唇压疮中的效果

发布时间：2018-03-30 22:35

本文选题：气管插管　切入点：压力性溃疡　出处：《解放军护理杂志》2016年12期

【摘要】：目的探讨改良牙垫在预防ICU气管插管患者口唇压疮中的效果。方法 2014年11月至2015年1月,便利抽样法选取在中南医院重症医学科行经口气管插管机械通气患者129例为研究对象。按随机数字表法将其分为对照组(n=64)和观察组(n=65)。对照组患者口腔护理完毕后,采用普通牙垫,并同气管导管一并固定;而观察组患者口腔护理完毕后,则采用改良牙垫(附有牙垫保护套的牙垫),并与气管导管一起固定。结果对照组共有9例患者发生口唇压疮,口唇压疮发生率为14.06%;观察组患者未发生口唇压疮。两组比较,差异有统计学意义(P=0.0034)。结论使用改良牙垫可降低牙垫对经口气管插管机械通气患者口唇及牙龈的压力,减轻牙垫对患者口腔造成的刺激,从而提高患者口腔的舒适度,预防ICU气管插管患者口唇压疮的发生。
[Abstract]:Objective to investigate the effect of modified dental pad on the prevention of lip pressure sore in patients with ICU tracheal intubation. Methods from November 2014 to January 2015, The convenience sampling method was used to select 129 patients with mechanical ventilation of oral tube intubation performed in the Department of intensive Medicine of Central South Hospital. They were divided into two groups according to the random digital table: control group (n = 64) and observation group (n = 65). After the oral care of the patients in the control group was completed, the patients in the control group were given oral care. The patients in the observation group were treated with common dental pad and fixed with trachea catheter, and the patients in the observation group were treated with oral care. Then the modified tooth pad (tooth pad with protective cover of tooth pad was fixed with trachea catheter). Results in the control group, there were 9 patients with lip pressure sores, the incidence of lip pressure sore was 14.06, and the patients in the observation group did not have lip pressure sores. Conclusion the use of modified dental pad can reduce the pressure on the lip and gingiva of the patients with mechanical ventilation through oral tube intubation, reduce the stimulation of the dental pad on the oral cavity of the patients, and thus improve the comfort of the patients' oral cavity. To prevent the occurrence of lip pressure sores in patients with ICU tracheal intubation.
【作者单位】：武汉大学中南医院重症医学科;
【分类号】：R473

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