Effect of breast milk combined with sodium bicarbonate oral care on prevention of ventilator-associated pneumonia in neonates
母乳联合碳酸氢钠口腔护理预防新生儿呼吸机相关肺炎的效果观察

摘要

目的 观察预防新生儿呼吸机相关肺炎实施母乳联合碳酸氢钠口腔护理的效果。方法 采用2022年1月-2023年1月在我院实行有创机械通气的85例新生儿，其中42例实行碳酸氢钠口腔护理的为对照组，实行母乳联合碳酸氢钠口腔护理的43例为观察组，对两组临床指标、呼吸机相关肺炎及口腔感染发生结果进行评估。结果 与对照组相较，观察组临床指标更优，呼吸机相关肺炎及口腔感染发生率更低，差异均有统计学意义（P＜0.05）。结论 预防新生儿呼吸机相关肺炎实施母乳联合碳酸氢钠口腔护理效果较佳，可改善临床指标，降低肺炎及感染发生率，应用价值高。

Abstract

Objective To observe the effect of breast milk combined with sodium bicarbonate oral nursing on the prevention of ventilator-associated pneumonia in neonates.
Methods A total of 85 neonates receiving invasive mechanical ventilation in our hospital from January 2022 to January 2023 were enrolled, including 42 cases receiving sodium bicarbonate oral care as the control group and 43 cases receiving breast milk combined with sodium bicarbonate oral care as the observation group. The clinical indexes, ventilation-associated pneumonia and oral infection of the two groups were evaluated.
Results Compared with the control group, the clinical indexes of the observation group were better, and the incidence of ventilators associated pneumonia and oral infection was lower, with statistical significance (P < 0.05).
Conclusion   Breast milk combined with sodium bicarbonate oral care is effective in preventing ventilator-associated pneumonia in neonates, which can improve clinical indexes, reduce the incidence of pneumonia and infection, and has high application value.