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目的探讨洗必泰在气管切开患者口腔护理中的效果。方法将95例气管切开患者根据住院的时间先后顺序,将患者随机分为观察组和对照组,对照组41例,采用生理盐水进行口腔护理;观察组44例,采用洗必泰进行口腔护理;采样培养,记录相关指标进行比较统计分析。结果 2组患者气切前及气切后进行口腔护理前,培养的菌落数进行比较差异无统计学意义。气切后12 h、24 h、48 h、72 h进行口腔护理后培养,2组各时间段分别比较发现,差异有统计学意义(P<0.05)。观察组患者VAP的发生率低于对照组,分别为20.5%、56.1%,二者比较差异有统计学意义(P<0.05)。结论洗必泰作为气管切开患者的口腔护液进行口腔护理能够抑制口腔内细菌的滋生,有效预防VAP的发生。
Objective To investigate the effect of chlorhexidine in oral care of tracheotomy patients. Methods 95 cases of tracheotomy patients were randomly divided into observation group and control group according to the time of hospitalization, 41 cases of control group were treated with saline for oral care; the observation group of 44 cases, the use of chlorhexidine oral care ; Sample culture, record the relevant indicators for comparative statistical analysis. Results There were no significant differences in the number of colonies cultured before oral care and before oral care after 2 years of operation. After 12 h, 24 h, 48 h, and 72 h after oral incision, oral nursing training was carried out. The differences between the two groups were statistically significant (P <0.05). The incidence of VAP in the observation group was lower than that of the control group (20.5% and 56.1%, respectively), and the difference was statistically significant (P <0.05). Conclusion Chlorhexidine as an oral solution for tracheotomy patients with oral care can inhibit the growth of oral bacteria, effectively prevent the occurrence of VAP.