危重患者口腔护理的临床意义
神经外科,0.12%洗必泰,医院获得性肺炎,呼吸机相关肺炎The,clinical,significance
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【摘要】目的探讨用0.12%洗必泰和0.5%聚维酮碘进行口腔护理在治疗医院获得性肺炎和呼吸机相关性肺炎的疗效情况。方法通过对常用的0.5%聚维酮碘与0.12%洗必泰口腔护理疗效比较，分析0.12%洗必泰口腔护理的临床价值。结果采用0.12%洗必泰口腔护理方法在防止医院获得性肺炎比0.5%聚维酮碘方法具有优势(│t│=3.325>t(0.05，56)，χ2=6.117，P=0.013)。同时包括减少呼吸机相关性肺炎的发生(t=2.563>t(0.05，56)，χ2=4.667，P=0.031)。结论0.12%洗必泰口腔护理方法减少医院获得性肺炎及呼吸机相关肺炎的发生，提高护理质量。
【关键词】口腔护理；神经外科；0.12%洗必泰；医院获得性肺炎；呼吸机相关肺炎The clinical significance of oral care in critically ill patients XU Hua-lan1，REN Xing-zhen1. Wujin Peoples Hospital of Changzhou, Changzhou 213017, China
【Abstract】ObjectiveExplore the curative effect wash with 0.12% will be with 0.5% povidone iodine for oral care in the treatment of hospital-acquired pneumonia(HAP) and ventilator-associated pneumonia.MethodsBy comparing the treatment role of chlorhexidine gluconate (0.12%) with 0.5% povidone iodine suppositories, we analyzed the significance of chlorhexidine gluconate (0.12%) in reducing the frequency of HAP or VAP. ResultsThe occurrence of HAP was significantly less on six subscales in the chlorhexidine gluconate (0 ......
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