Exploration on the Influence of Different Pharmaceutical Solutions on Oral Care of Critically Ill Patients
Objective To explore the more suitable oral care solutions for critically ill patients in Traditional Chinese Medicine hospitals on the basis of the standard operation of"Consensus of oral care experts in Adult intensive Care Unit".Methods From March 1st to May 31st,2023,patients hospitalized in a hospital were randomly divided into three groups,Chinese medicine liquid group:Chinese medicine liquid formula to complete standard oral care;Normal saline group:0.9%sterile normal saline was used to complete standard oral care;Chlorhexidine group:Standard oral care is completed with 0.1%chlorhexidine solution provided by the hospital.Beck score and CPIS score were recorded at the first oral assessment after admission,one day after admission,three days after admission,five days after admission,and ten days after admission,respectively.Results There was no significant difference in the score of the first admission among the three groups.The first day,the third day,the fifth day and the tenth day were statistically significant.The BECK scores of the normal saline group and the chlorhexidine group were statistically different from the fifth day,and the BECK scores of the normal saline group and the Chinese medicinal solution group were significantly different from the first day.The BECK score of chlorhexidine group and Chinese medicine liquid group was significantly different from the third day,and reached good oral condition by the tenth day.There were significant differences between the normal saline group and the chlorhexidine group from CPIS to the tenth day,the normal saline group and the Chinese herbal solution group from the fifth day of CPIS,and the chlorhexidine group and the Chinese herbal solution group from the fifth day of CPIS.The scores of patients before and after oral care in each group were statistically significant.Conclusions Compared with 0.1%chlorhexidine solution and 0.9%sterile normal saline,0.1%chlorhexidine solution had better cleaning effect than 0.9%normal saline,and Beck oral score and clinical pulmonary infection score were significantly changed after oral care in each group.
Oral careExpert consensusTraditional Chinese Medicine nursingCritically ill patient