论文部分内容阅读
目的观察术前口腔准备对体外循环心脏手术术后呼吸道感染的预防作用,探讨体外循环心脏手术术前准备与术后呼吸道感染的相关性。方法将2012年1月-2014年6月收治的289例体外循环心脏手术患者随机分为对照组和观察组,对照组进行常规术前准备,观察组术前用Listerine(李斯德林)漱口水进行口腔清洁护理。术后观察比较两组患者呼吸道带菌率、发热率、咳嗽和咳痰发生率。结果对照组术后呼吸道带菌率、发热率、咳嗽和咳痰发生率分别为39.29%、41.07%、38.39%和34.32%;观察组相应指标分别为19.21%、25.42%、28.25%和24.29%,两组各观察指标间的差异均有统计学意义,其中致病菌以大肠埃希菌为主。结论术前进行口腔清洁护理可以有效降低体外循环心脏手术术后呼吸道感染的发生率。
Objective To observe the preventive effect of preoperative oral preparation on postoperative respiratory tract infection after cardiopulmonary bypass and to explore the correlation between preoperative cardiopulmonary bypass preparation and postoperative respiratory infection. Methods 289 patients undergoing cardiopulmonary bypass during January 2012 to June 2014 were randomly divided into control group and observation group. The control group was given routine preoperative preparation. The observation group was treated with Listerine mouthwash Perform oral hygiene care. Postoperative observation of the two groups of patients compared respiratory tract infection rate, fever, cough and sputum incidence. Results The incidences of respiratory tract infection, fever, cough and sputum were 39.29%, 41.07%, 38.39% and 34.32% respectively in the control group. The corresponding indexes in the observation group were 19.21%, 25.42%, 28.25% and 24.29% The differences between the two groups were statistically significant, of which the pathogens were Escherichia coli. Conclusion Preoperative oral cleaning nursing can effectively reduce the incidence of postoperative respiratory infection after cardiopulmonary bypass.