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目的:探讨金玉液对经口气管插管患者呼吸机相关性肺炎(VAP)的影响。方法:将60例经口气管插管患者机分为两组,在常规治疗基础上采用冲洗-吸引-擦拭结合式口腔护理,观察组以金玉液为口腔护理液,对照组以0.9%氯化钠注射液为口腔护理液。观察两组患者口腔清洁度优良率、口腔并发症发生率、咽拭子细菌培养结果及VAP发生率。结果:观察组口腔清洁度优良率、口腔并发症发生率、咽拭子细菌培养阳性率及VAP发生率方面比较均优于对照组比较,差异均有统计学意义(P<0.05)。结论:对于经口气管插管行机械通气患者采用金玉液口腔护理效果良好,且口感好,对黏膜刺激小,可有效预防口腔并发症及VAP的发生。
Objective: To investigate the effect of Jinyuye on ventilator-associated pneumonia (VAP) in patients with orotracheal intubation. Methods: Sixty patients with orotracheal intubation were divided into two groups. On the basis of conventional treatment, combined with oral care was adopted. In the observation group, Jinyuxin was used as oral care solution. The control group was treated with 0.9% chlorinated Sodium injection for oral care solution. The excellent rate of oral cleanliness, the incidence of oral complications, the results of throat swab culture and the incidence of VAP were observed. Results: The excellent rate of oral cleanliness, the incidence of oral complications, the positive rate of throat swab culture and the incidence of VAP in the observation group were all better than those in the control group (P <0.05). Conclusions: Oral endotracheal intubation with mechanical ventilation of Jin Yu oral care good effect, and good taste, small stimulation of the mucous membrane, which can effectively prevent oral complications and VAP.