改良式巴氏刷牙法在危重症患者经口气管插管冲洗式口腔护理中的应用研究

蒋 华娟, 黄 锦芳, 何 思锦, 覃 肖杏, 罗 彩云
广西壮族自治区南溪山医院

摘要


［目的］探讨改良式巴氏刷牙法在危重症经口气管插管机械通气患者的冲洗式口腔护理中的应用效果［方法］选取2024年入住综合重症医学科且接受经口气管插管机械通气患者100例随机均衡分配至对照组与试验组，两组样本量各50例。对照组采用棉球擦拭联合冲洗式口腔护理，试验组采用改良式Bass刷牙法的冲洗式口腔护理。比较两组患者牙菌斑指数、口腔并发症发生率、呼吸机相关性肺炎发生率及护理操作时间。［结果］干预后两组牙菌斑指数、口腔并发症发生率、护理操作耗时及呼吸机相关性肺炎发生率等指标上均存在统计学差异（P＜0.05）。［结论］改良式巴氏刷牙法的冲洗式口腔护理可以减少患者牙菌斑指数，缩短护理操作时间，降低口腔并发症发生率和呼吸机相关性肺炎发生率，有效提高口腔护理质量。

关键词


气管插管；危重症患者；改良式BASS刷牙法；冲洗式口腔护理；呼吸机相关性肺炎

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参考


[1]Candel FJ, Salavert M, Estella A, et al. Ten Issues to Update in Nosocomial or Hospital-Acquired Pneumonia: An Expert Review. J Clin Med. 2023;12(20):6526. Published 2023 Oct 14. doi:10.3390/jcm12206526

[2]Pileggi C, Mascaro V, Bianco A, Nobile CGA, Pavia M. Ventilator Bundle and Its Effects on Mortality Among ICU Patients:A Meta-Analysis. Crit Care Med. 2018;46(7):1167-1174. doi:10.1097/CCM.00000000000 03136

[3]Hu JN, Hu SQ, Li ZL, et al. Risk factors of multidrug-resistant bacteria infection in patients with ventilator-associated pneumonia: A systematic review and meta-analysis.J Infect Chemother.2023;29(10):942-947. doi:10.1016/j.jiac.2023.06.008

[4]Martinez-Reviejo R, Tejada S, Jansson M, et al. Prevention of ventilator-associated pneumonia through care bundles: A systematic review and meta-analysis. J Intensive Med. 2023;3(4):352-364. Published 2023 Jun 14. doi:10.1016/j.jointm.2023.04.004

[5]邵明珠,韩燕.不同口腔护理方式在预防经口气管插管机械通气患者呼吸机相关性肺炎中的应用效果[J]. 国际护理学杂志,2021,40(22):4130-4133.

[6]Rajwani AR, Hawes SND, To A, Quaranta A, Rincon Aguilar JC. Effectiveness of Manual Toothbrushing Techniques on Plaque and Gingivitis: A Systematic Review. Oral Health Prev Dent. 2020;18(4):843-854. Published 2020 Oct 2. doi:10.3290/j.ohpd.a45354

[7]重症监护病房医院感染预防与控制规范WS/T 509—2016[J]. 中国感染控制杂志,2017,16(2):191-194.DOI:10.3969/j.issn.1671-9638.2017.02.022.

[8]La Rosa GRM, Chapple I, Polosa R, Pedullà E. A scoping review of new technologies for dental plaque quantitation: Benefits and limitations. J Dent. 2023;139:104772. doi:10.1016/j.jdent.2023.104772

[9]中华医学会呼吸病学分会感染学组.中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南(2018年版)[J].中华结核和呼吸杂志,2018,41(4):255-280. DOI:10.3760/cma.j.issn.1001-0939.2018.04.006.

[10]Ren X, He J, Cheng R,et al. The Efficacy and Safety of Oral Irrigator on the Control of Dental Plaque and Gingivitis:A Randomized, Single-Blind, Parallel-Group Clinical Trial. Int J Environ Res Public Health. 2023;20(4):3726.

[11]孔懿,高晓东,戴正香,等.SHEA急症医院的呼吸机相关性肺炎和呼吸机相关性事件的预防策略(2022版)解读[J].华西医学,2023,38(3):336-345.

[12]黎燕萍,莫丽,卢佳美.新型口腔护理用具在危重症患者经口气管插管中的应用研究[J].循证护理,2 023,9(13):2419-2422.DOI:10.12102/j.issn.2095-8668. 20 23.13.026.

[13]杨菊霞,吴金平,殷华丽,等.复方茶多酚含漱液在经口气管插管机械通气患者口腔护理中的效果[J].实用临床医药杂志,2019,23(3):125-126,129.DOI:10.761 9/jcmp.201903035.

[14]罗若屿,景继勇.预防呼吸机相关性肺炎的口腔护理研究进展[J].护理研究,2023,37(14):2589-2592.DOI:10.12102/j.issn.1009-6493.2023.14.019.

[15]Janakiram C,Varghese N, Venkitachalam R,Joseph J, Vineetha K. Comparison of modified Bass, Fones and normal tooth brushing technique for the efficacy of plaque control in young adults- A randomized clinical trial. J Clin Exp Dent. 2020;12(2):e123-e129. Published 2020 Feb 1.doi:10.4317/jced.55747

[16]龚思媛,廖春莲,刘继红,等.《成人重症监护病房口腔护理专家共识》解读[J].护理研究,2023,37(3):3 88-391.DOI:10.12102/j.issn.1009-6493.2023.03.003.


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