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目的经口气管插管由于操作简单、快速、创伤小、排痰容易、并发症低,目前临床上在抢救急危重症病人时,经常采用经口腔明视气管插管。但是插管又容易引发ICU重要的医院感染问题一VAP(呼吸机相关性肺炎)的发生。研究证明,通过有效的口腔护理改善口腔卫生状况,能够降低VAP的发病率。品管圈(QCC)又称品质管理圈,我科自2013年3月成立品管圈,将QCC的工作方法运用于经口气管插管患者口腔护理,以提高口腔护理的质量,效果满意,现总结如下。
Objective Oral endotracheal intubation due to simple, rapid, trauma, expectoration easy, low complication, the current clinical emergency rescue critically ill patients, often used by the oral cavity as the endotracheal intubation. However, intubation can easily lead to an important hospital infection in the ICU-VAP (ventilator-associated pneumonia). Research shows that improving oral hygiene through effective oral care can reduce the incidence of VAP. Quality Control Circle (QCC), also known as quality management circle, our department since March 2013 set up quality control circle, the QCC method of work used in oral orotracheal intubation in patients with oral care to improve oral care quality, with satisfactory results, Now summarized as follows.