[1]郑 颖.不同口腔护理时机对呼吸机相关肺炎护理效果的影响[J].医学信息,2020,33(21):179-180.[doi:10.3969/j.issn.1006-1959.2020.21.057]
　ZHENG Ying.The Effect of Different Oral Nursing Time on the Nursing Effect of Ventilator-related Pneumonia[J].Medical Information,2020,33(21):179-180.[doi:10.3969/j.issn.1006-1959.2020.21.057]
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不同口腔护理时机对呼吸机相关肺炎护理效果的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年21期
页码:
179-180
栏目:
护理研究
出版日期:
2020-11-01

文章信息/Info

Title:
The Effect of Different Oral Nursing Time on the Nursing Effect of Ventilator-related Pneumonia
文章编号:
1006-1959（2020）21-0179-02
作者:
郑 颖
（天津医科大学总医院滨海医院重症医学科，天津 300480）
Author(s):
ZHENG Ying
(Department of Critical Care Medicine,Binhai Hospital,General Hospital of Tianjin Medical University,Tianjin 300480,China)
关键词:
口腔护理; 护理时机; 呼吸机相关肺炎; 护理效果
Keywords:
Oral care; Timing of care; Ventilator-related pneumonia; Nursing effect
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2020.21.057
文献标志码:
A
摘要:
目的 研究不同口腔护理时机对呼吸机相关肺炎（VAP）护理效果的影响。方法 选取2018年4月~2019年10月在我院诊治的141例机械通气患者为研究对象，采用随机数字表法分为A、B、C组，各47例。口腔护理频率分别为A组6h 1次，B组8h 1次，C组12h 1次，比较三组VAP（早期、延期）总发生情况、机械通气时间、住院时间、VAP发生时间、口腔并发症发生情况。结果 A组和B组早期、延期、总VAP发生率均低于C组，差异有统计学意义（P＜0.05），但A组与B组比较，差异无统计学意义（P＞0.05）；A组机械通气时间、住院时间均短于B组和C组，且B组短于C组，差异有统计学意义（P＜0.05）；A组VAP发生时间长于B组和C组，且B组长于C组，差异有统计学意义（P＜0.05）；A组口腔并发症发生率低于B组和C组，且B组低于C组，差异有统计学意义（P＜0.05）。结论 不同口腔护理时机可缩短械通气时间和住院时间，改善护理效果，降低口腔并发症发生率。6h 1次口腔护理可缩短机械通气时间、住院时间，延长VAP发生时间，且可降低口腔并发症发生率，发挥良好呼吸机相关肺炎护理效果。
Abstract:
Objective To study the effect of different oral care timing on the nursing effect of ventilator-associated pneumonia (VAP).Methods A total of 141 mechanically ventilated patients who were diagnosed and treated in our hospital from April 2018 to October 2019 were selected as the research objects. They were divided into three groups A, B, and C by random number table, with 47 cases in each group. The frequency of oral care was once every 6 h in group A, once every 8 h in group B, and once every 12 h in group C.The total occurrence of VAP (early and delayed), mechanical ventilation time, hospitalization time, VAP occurrence time, and oral complications were compared among the three groups.Results The incidence of early, delayed and total VAP in group A and group B were lower than group C,the difference was statistically significant (P＜0.05), but there was no statistically significant difference between group A and group B (P＞0.05); The mechanical ventilation time and hospital stay of group A were shorter than those of group B and C, and group B was shorter than group C, the difference was statistically significant (P＜0.05); the time of VAP in group A was longer than that of group B and C, and group Bwas longer than group C, the difference was statistically significant (P＜0.05); the incidence of oral complications in group A was lower than that of group B and C, and group B was lower than group C, the difference was statistically significant (P＜0.05).Conclusion Different oral nursing time could shorten the time of mechanical ventilation and hospitalization, improve the nursing effect, and reduced the incidence of oral complications. 6h oral care could shorten the time of mechanical ventilation, hospitalization, prolong the time of VAP, and could reduce the incidence of oral complications, and played a good effect of ventilator-related pneumonia care.

参考文献/References:

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更新日期/Last Update: 1900-01-01