组合吸痰管结合洗必泰口腔冲洗对预防呼吸机相关肺炎的临床研究

发布时间：2018-12-11 04:05

【摘要】：目的探究组合吸痰管结合洗必泰对ICU应用呼吸机患者医院感染的防控价值。方法选择2014年10月-2016年10月医院ICU应用呼吸机住院患者98例,随机分为对照组和试验组,各49例;对照组给予常规棉球擦拭处理,试验组给予组合式吸痰管结合洗必泰处理,评价两组患者的口腔评分(OAG)、口腔干预效果及肺部感染评分(CPIS)等。结果治疗后,对照组的OAG评分(18.73±7.96)高于试验组(15.34±5.28)(P0.05);试验组发生轻度口腔异味者、2级以上口腔异味者及口腔残留物检出率,口腔阳性菌检出、牙菌斑指数及口腔黏膜损伤指标均低于对照组(P0.05);对照组CPIS评分显著低于试验组(P0.05);对照组的血液学指标高于试验组(P0.05)。结论组合吸痰管结合洗必泰对ICU应用呼吸机患者医院感染具有一定的防控价值,能够降低住院患者口腔细菌感染率、肺部感染率,合理提高口腔黏膜的防御能力,降低住院时间,一定程度上提高患者的生活质量。
[Abstract]:Objective to explore the value of combined sputum suction tube combined with chlorhexidine in the prevention and control of nosocomial infection in ICU patients with ventilator. Methods from October 2014 to October 2016, 98 patients with ICU were randomly divided into control group and experimental group with 49 cases in each group. The control group was treated with routine cotton ball wiping, the experimental group was treated with combined sputum suction tube combined with chlorhexidine. The oral intervention effect of (OAG), and pulmonary infection score (CPIS) were evaluated in both groups. Results after treatment, the OAG score of the control group (18.73 卤7.96) was higher than that of the experimental group (15.34 卤5.28) (P0.05). In the test group, the detection rate of the patients with mild odour, the detection rate of oral residue, the plaque index and the index of oral mucosal injury were lower than those of the control group (P0.05). The CPIS score of the control group was significantly lower than that of the experimental group (P0.05), and the hematological index of the control group was higher than that of the experimental group (P0.05). Conclusion combination of sputum suction tube and chlorhexidine can prevent and control nosocomial infection in ICU patients with ventilator, reduce oral bacterial infection rate and lung infection rate, and reasonably improve oral mucosal defense ability. Reduce the length of stay, to a certain extent improve the quality of life of patients.
【作者单位】：滨州市人民医院重症医学科;滨州市人民医院肿瘤科;
【分类号】：R563.1

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