Abstract：Objective To explore the application effect of the method of irrigation combined with tooth-brushing in oral nursing of patients with tracheotomy.Methods A total of 130 cases of tracheotomy in our hospital from September 2017 to May 2019 were selected as the research objects, they were divided into control group and experiment group according to random number table method，65 cases in each group.The control group was given traditional oral nursing, the experimental group was given irrigation combined with tooth-brushing.The incidence rate of halitosis, oral inflammation, oral bacteria infection, oral nursing time in two groups were compared.Results The incidence rates of oral bacteria infection after 3 and 7 days oral nuring in the experimental group were 23.08% and 9.23% respectively, the incidence rates of oral inflammation were 18.46% and 12.31% respectively, the incidence rates of halitosis were 10.78%and 7.69% respectively, while the incidence rates of oral bacteria infection after 3 and 7 days oral nuring in the control group were 35.38% and 15.38% respectively, the incidence rates of oral inflammation were 20.00% and 23.08% respectively, the incidence rates of halitosis were 24.62% and 20.00% respectively, the experimental group of patients with oral bacteria infection, oral inflammation and halitosis were lower than those of the control group, the differences were statistically significant (P＜0.05).The oral nursing time of the experimental group was (6.12±1.82 )min, while the control group was (7.25±2.55) min, the experimental group of oral nursing time was shorter than that of the control group, the difference was statistically significant (P＜0.05).Conclusion Irrigation combined with tooth-brushing is beneficial to reduce halitosis and oral inflammation and oral bacteria infection in the experimental group, the experimental group can improve the quality of oral nursing in patients with tracheotomy effectively and shorten oral nursing time.It can improve the treatment effect and nursing efficiency and is worthy of application.
叶琴; 顾媛; 杨秀华; 郭莲仪; 卢宁艳; 杨蓉. 冲洗法结合牙刷刷洗法在气管切开患者口腔护理中的应用效果[J]. 中国当代医药, 2020, 27(13): 212-214.
YE Qin; GU Yuan; YANG Xiu-hua; GUO Lian-yi; LU Ning-yan; YANG Rong. Application effect of irrigation combined with tooth-brushing in oral nuring of patients with tracheotomy. 中国当代医药, 2020, 27(13): 212-214.
Labeau SO，Van de Vyver K，Brusselaers N，et al.Prevention of ventilator-associated pneumonia with oral antiseptics：a systematic review and meta-analysis[J]．Lancet Infect Dis，2011,11（11）：845-854.
[3]
Tantipong H，Morkchareonpong C，Jaiyindee S，et al.Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia[J].Infect Control Hosp Epidemiol，2008，29（2）：131-136.
Parsons S，Lee CA，Strickert D，et al.Oral care and ventilator-associated pneumonia：an integrated review of the literature[J]．Dimens Crit Care Nurs，2013，32（3）：138-145.
[10]
Oho T，Yoshida Y，shimazaki Y，et al.Psychological condition of patients complaining of halitosis[J].J Dent，2001，29（1）：31-33.
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