脑卒中张口呼吸患者辅助口腔喷雾法的疗效评价

发布时间：2018-11-10 09:01

【摘要】：目的探讨脑卒中昏迷患者的治疗使用口腔喷雾法的主要疗效。寻找非人工气道张口呼吸患者进行湿化的最佳措施。方法选取2010年1月~2012年1月我院收治的脑卒中张口呼吸患者120例作为研究对象,按照随机分配的原则分为对照组和观察组,各60例。对照组按常规的方法使用湿纱布掩住口鼻部,观察组采用口腔喷雾法,对两组患者口腔黏膜湿化疗效及肺部感染的发生可能性进行对比。结果观察组口腔黏膜湿化总有效率为89.26%,对照组为53.37%,两组比较,差异有统计学意义(P0.05);观察组的肺部感染发生概率为30.16%,对照组发生的概率为59.04%,两组比较,差异有统计学意义(P0.05)。痰液的粘稠度比较,差异有统计学意义(P0.05)。结论对脑卒中张口呼吸患者采用口腔喷雾法的治疗管理方法,明显好于使用湿纱布掩住口鼻的常规方法,能减少口腔粘膜干燥及肺部感染等并发症的发生,使得痰液吸出更加方便,值得在临床上推广和应用。
[Abstract]:Objective to investigate the main curative effect of oral spray in the treatment of coma patients with stroke. To find the best method for humidification in patients with open mouth breathing of non-artificial airway. Methods from January 2010 to January 2012, 120 stroke patients with open mouth breathing were selected and divided into control group (n = 60) and observation group (n = 60) according to the principle of random distribution. In the control group, wet gauze was used to cover the mouth and nose, and the oral spray was used to compare the effect of humidification of oral mucosa and the possibility of pulmonary infection between the two groups. Results the total effective rate of oral mucosal humidification was 89.26 in the observation group and 53.37 in the control group. The difference between the two groups was statistically significant (P0.05). The probability of pulmonary infection in the observation group was 30.16 and that in the control group was 59.04. The difference between the two groups was statistically significant (P0.05). There was significant difference in the viscosity of sputum (P0.05). Conclusion the treatment and management of open mouth breathing patients with stroke by oral spray is better than the routine method of covering mouth and nose with wet gauze, and can reduce the occurrence of complications such as dry oral mucosa and pulmonary infection. It makes sputum sucking out more convenient and worth popularizing and applying in clinic.
【作者单位】：河北省永年县第一医院;
【分类号】：R743.3

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