Application of hydrogen peroxide in nursing care for the oral cavities of the patients with orotracheal intubation
10.3760/cma.j.issn.1674-2907.2013.28.032
- VernacularTitle:过氧化氢在经口气管插管患者口腔护理中的应用
- Author:
Chun-Xiang LIU
1
;
Li-Yang ZHU
;
Wei-Mei MO
;
Qi LIN
;
Yong-Chu WEI
;
Dong-Mei LI
;
Xu ZHU
Author Information
1. 广西医科大学第三附属医院感染性疾病科
- Keywords:
Hydrogen peroxide solution;
Intubation,intratracheal;
Nursing care for oral cavities;
Bacterial number in pharyngo-oral cavities
- From:
Chinese Journal of Modern Nursing
2013;19(28):3540-3542
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of hydrogen peroxide on the prevention of the infectious complication in the patients with orotracheal intubation.Methods Ninety patients with orotracheal intubation for mechanical ventilation were randomly divided into three groups,each with 30 cases.The oral cavities of the patients in Group A were washed with cotton balls soaked by 3％ hydrogen peroxide solution and rinsed with normal saline (0.9％ sodium chloride solution) ;those of the patients in Group B were rinsed with normal saline alone;and those of the patients in Group C were washed conventionally with cotton balls soaked by normal saline.The oral care was conducted twice daily in each group.The bacterial number in pharyngo-oral cavities,the pH values,clean degrees of oral cavities and the incidence of oral cavity infection in the three groups were observed.Results After oral care with the three methods,the bacterial number in pharyngo-oral cavities of the patients in Groups A,B and C were decreased,and respectively (306.70 ± 15.57),(436.10 ± 19.14),(762.33 ± 28.46) cfu/plate,the difference was statistically significant (F =116.5,P ＜ 0.05),and the decrease in bacterial number was most significant in Group A.The oral pH values of all the patients were increased,and were respectively (6.70 ± 0.085),(6.41 ± 0.102),(6.35 ± 0.076) in three groups,the difference was statistically significant (F=4.415,P＜0.05),and those of the patients in Group A were found to increase most significantly.The incidence of dental plaques (16.67％,40.00％,33.33％) and that of oral cavity infection (10.00％,20.00％,33.33％) did not show statistical significance (x2 =4.127,4.937,respectively; P ＞0.05).The incidence of halitosis (20.00％,43.33 ％,56.67％) showed significant differences (x2 =8.61,P ＜0.05),and the incidence of halitosis was lowest in Group A.Conclusions Washing the oral cavities with cotton balls soaked by 3％ hydrogen peroxide solution and rinsing the oral cavities with 0.9％ sodium chloride solution can prevent from the infectious complication in the patients with orotracheal intubation.
