The effect of chlorhexidine acetate flushing oral care in patients with endotracheal intubation
10.3760/cma.j.issn.1672-7088.2018.17.008
- VernacularTitle:经口气管插管患者醋酸氯己定溶液冲洗式口腔护理的临床效果研究
- Author:
Debin HUANG
1
;
Shanjuan LIN
;
Haili XIE
;
Xuehua WU
;
Qi ZHANG
Author Information
1. 广西医科大学第一附属医院重症医学科二区
- Keywords:
Pneumonia,ventilator-associated;
Endotracheal intubation;
Chlorhexidine;
Flushing oral care
- From:
Chinese Journal of Practical Nursing
2018;34(17):1310-1313
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of chlorhexidine acetate solution for oral care in patients with endotracheal intubation. Methods From February 2017 to August 2017, 160 patients with tracheal intubation in our department were divided into the observation group (80 cases) and the control group (80 cases) by random number table method. The observation group was treated with chlorhexidine acetate solution, and the control group used the compound Borax solution for oral care. The oral condition score, the positive rate of oral bacterial culture, the incidence rate of ventilator-associated pneumonia were compared between two groups. Results In the observation group, the oral condition score and the positive rate of oral bacterial culture were 10.29 ± 2.04 and 16.25% (13/80) on the 3rd day after theoral care. In the control group, the oral condition score and the positive rate of oral bacterial culture were 12.79 ± 1.97 and 31.25%(25/80) on the 3rd day after the oral care. There were statistically significant differences between the two groups (t=-7.895, P<0.01; χ2=4.970, P<0.05). The incidence and occurrence time of ventilator-associated pneumonia in the observation group were 7.50% (6/80), (9.33±1.37) d. The incidence and occurrence time of ventilator-associated pneumonia in the control group were 18.75% (15/80), (5.87 ± 1.06) d. The difference between the two groups was statistically significant (χ2=4.440, P<0.05; t=6.248, P<0.01). Conclusions The chlorhexidine acetate flushing oral care can significantly improve dental status, reduce the positive rate of oral bacterial culture and the incidence of ventilator-associated pneumonia, and prolong the occurrence time of ventilator-associated pneumonia in patients with endotracheal intubation.
