在U形口腔卫生模型的危急患者中预防因呼吸机引起的肺炎:系统性审查
Nova Maryani1, Alfini Octavia2, Cahyo Budiyantoro3
1Departement of Anaesthesiology and Intensive Therapy, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia.
Romanian journal of anaesthesia and intensive care
|August 28, 2023
概括
这次审查表明,刷牙,特别是用赫西丁,可能有助于预防呼吸机相关肺炎 (VAP) 在重症监护. 然而,一致的实施和有效性需要进一步考虑.
科学领域:
- 关键护理医学 关键护理医学
- 预防传染病 预防传染病
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 呼吸机相关肺炎 (VAP) 是重症监护室常见的一种病房感染.
- 鼻腔微生物经常被认为是重症患者中VAP的来源.
- 有效的VAP预防策略对于改善患者的治疗结果至关重要.
研究的目的:
- 系统地审查U形牙刷模型在减少VAP患病率方面的有效性.
- 评估牙刷和赫西丁在VAP预防中的联合使用.
- 评估口腔护理干预措施对机械通风患者VAP发病率的影响.
主要方法:
- 在多个数据库中进行系统的文献搜索.
- 包括随机对照试验 (RCT),元分析和观察性研究.
- 对15项调查牙刷和赫西丁干预措施的研究进行了分析.
主要成果:
- 十项研究表明,牙刷与赫西丁和VAP预防之间存在积极的关联.
- 五项研究没有发现这些干预措施显著减少了VAP发病率.
- 有证据表明存在潜在的益处,但结果并不总是具有决定性.
结论:
- 牙刷与赫西丁相结合可能会减少机械通风患者的VAP发生率.
- 口腔护理方案的实际实施和一致维护需要进一步研究.
- 需要进一步的研究,通过口腔卫生优化VAP预防策略.
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