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目的探讨0.2%盐酸氯已定皮肤护理对防治呼吸机相关性肺炎(VAP)的防治作用。方法选取住院行MV治疗的患者,按照住院号随机选取45名患者为实验组,35名患者作为对照组。对照组住院期间每天1次给予常规温水擦浴,并行盐酸氯已定改良式口腔护理,试验组住院期间每天在盐酸氯已定改良式口腔护理的同时给予盐酸氯已定皮肤护理。结果试验组VAP发生率为4.33%,对照组VAP发生率为16.00%,P<0.05。试验组与对照组均未发生接触性皮炎、过敏性休克等不良反应,但有2名患者出现皮肤不适感。结论应用盐酸氯已定进行皮肤护理可有效的预防VAP的发生,但应集中对医护人员进行相关知识的培训,密切观察患者的病情。
Objective To investigate the preventive and therapeutic effects of 0.2% chlorhexidine hydrochloride on the prevention and treatment of ventilator-associated pneumonia (VAP). Methods The patients treated by MV in hospital were selected, and 45 patients were randomly selected as the experimental group and 35 patients as the control group according to the hospitalization number. Patients in the control group were given routine warm water sponge bath once a day during the hospitalization period, and parallel modified hydrochloric acid chloride was given to improve oral care. The patients in the experimental group were treated with chlorhexidine hydrochloride and dermatology once a day. Results The incidence of VAP was 4.33% in the experimental group and 16.00% in the control group, P <0.05. There were no adverse reactions such as contact dermatitis and anaphylactic shock in the test group and the control group, but skin discomfort was observed in 2 patients. Conclusion The application of chlorhexidine hydrochloride for skin care can effectively prevent the occurrence of VAP. However, we should focus on the training of medical staff on the relevant knowledge and observe closely the patient’s condition.