酸化水口腔护理预防颅脑损伤患者呼吸机相关性肺炎的效果观察

摘要

Objective:To explore the effect of acid aqueous solution oral nursing on prevention ventilator-associated pneumonia for craniocerebral injury of patients. Methods:The 60 cases of patients with severe head injury mechanical ventilation used mechanical ventilation in our hospital from Jan. 2014 to Dec. 2014 were chosen and randomly divided into control group and observation group. All patients were given therapies of invasive mechanical ventilation,arousal and nutritional support. The control group was given physiological saline oral nursing 3 times a day. Observation group was given acidic aqueous solution oral nursing 3 times a day. Then compared two groups for clinical effect,ventilator-associated pneumonia occurrence rate and all-cause mortality rate,length and expense of hospitalization. Results:the curative effect of observation group was higher than that of control group (P<0. 05);the incidence of ventilator associated pneumonia occurrence rate and all-cause mortality rate of observation group was lower than that of control group (P<0. 05);hospitalization ex-pense was less than that of control group (P<0. 05);hospitalization time was short than that of control group (P<0. 05). Conclusion:Acid aqueous solu-tion oral nursing has exact curative effect for craniocerebral injury and ventilator-associated pneumonia.%目的：：探讨酸化水口腔护理预防颅脑损伤患者呼吸机相关性肺炎的疗效。方法：选择2014年1~12月我院需要机械通气的重型颅脑损伤患者60例，将其随机等分为对照组和观察组。所有患者均给予有创机械通气、促醒、营养支持等治疗，对照组予生理盐水口腔护理，每日3次；观察组则给酸化水口腔护理，每日3次。比较两组患者临床疗效、呼吸机相关肺炎发生率、住院期间的全因死亡率、住院费用、住院时间。结果：观察组疗效高于对照组(P<0.05)，呼吸机相关肺炎发生率、全因死亡率低于对照组(P<0.05)。住院费用少于对照组(P<0.05)，住院时间短于对照组(P<0.05)。结论：酸化水口腔护理对预防颅脑损伤患者呼吸机相关性肺炎有确切疗效。