双氧水联合碳酸氢钠口腔护理对预防新生儿呼吸机相关性肺炎的效果研究

发布时间：2018-03-13 03:00

本文选题：肺炎　切入点：呼吸机相关性　出处：《中华护理杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨联合使用双氧水和碳酸氢钠进行口腔护理对预防新生儿呼吸机相关性肺炎的效果。方法用随机数字法将209例使用经口气管插管有创机械通气的新生儿分为实验组104例和对照组105例。两组在预防呼吸机相关性肺炎的常规机械通气护理措施基础上,实验组使用1.5%的双氧水联合2.5%的碳酸氢钠溶液进行口腔护理,对照组采用2.5%的碳酸氢钠溶液进行口腔护理,均为每8 h 1次,比较两组气管内痰培养阳性病原菌检测结果、呼吸机相关性肺炎的发生率、机械通气时间、住院时间及住院费用情况。结果机械通气48 h后,实验组痰培养病原菌阳性率低于对照组,差异具有统计学意义(P0.05)。两组呼吸机相关性肺炎发生率,在机械通气48 h后,实验组低于对照组,差异具有统计学意义(P0.05)。实验组机械通气时间及住院时间短于对照组,差异有统计学意义(P0.05)。结论联合使用双氧水和碳酸氢钠进行口腔护理能有效清除新生儿口腔定植菌,预防新生儿呼吸机相关性肺炎,从而缩短患儿机械通气时间及住院时间。
[Abstract]:Objective to explore the effect of oral nursing combined with hydrogen peroxide and sodium bicarbonate on the prevention of neonatal ventilator-associated pneumonia. 104 cases in the experimental group and 105 cases in the control group, on the basis of routine mechanical ventilation nursing measures to prevent ventilator-associated pneumonia, The experimental group was treated with 1.5%% hydrogen peroxide and 2.5% sodium bicarbonate solution for oral care, while the control group was given 2.5% sodium bicarbonate solution for oral care. The results were compared between the two groups. Results after 48 hours of mechanical ventilation, the positive rate of pathogenic bacteria in sputum culture in the experimental group was lower than that in the control group. The incidence of ventilator-associated pneumonia in the two groups was significantly lower than that in the control group after 48 hours of mechanical ventilation, and the difference was statistically significant (P 0.05). The time of mechanical ventilation and hospital stay in the experimental group was shorter than that in the control group. Conclusion the combined use of hydrogen peroxide and sodium bicarbonate in oral nursing can effectively eliminate the neonatal stomal colonization bacteria, prevent neonatal ventilator-associated pneumonia, and shorten the time of mechanical ventilation and hospital stay.
【作者单位】：福建医科大学附属漳州市医院NICU;福建医科大学附属漳州市医院护理部;福建医科大学附属漳州市医院PICU;
【基金】：2013年福建省卫生厅青年科研课题(2013-2-116)
【分类号】：R473.72

【参考文献】