Song Ji-Ah, Hur Myung-Haeng
Eulji University Hospital, Daejeon, Korea.
J Korean Acad Nurs. 2012 Jun;42(3):405-13. doi: 10.4040/jkan.2012.42.3.405.
The aim of this study was to explore the effects of A-solution on halitosis and oral status in preoperative NPO patients.
A nonequivalent control group, non-synchronized pretest-posttest design was used in this study. The participants in this study were 66 patients who were admitted for gynecologic surgery. The experimental treatment was to give oral gargling with A-solution, blended essential oils and diluted with distilled water. To identify the experimental treatment effects, halitosis, salivary pH, and oral status were measured by a portable halitosis detector, visual analogue scale, Bromo Thymol Blue (BTB), Bromo Cresol Purple (BCP) test paper and oral assessment guide. Data were analyzed using χ²-test, t-test with PASW 18.0 version.
Participants were homogeneous before experimental treatment. Objective halitosis in the experimental group, measured by a portable halitosis detector (t= -8.34, p<.001) was significantly lower than the control group. Subjective halitosis was significantly lower in the experimental group (t= -9.29, p<.001). Salivary pH was significantly different between two groups (t=8.81, p<.001). Oral status was significantly better in the experimental group (t= -13.31, p<.001).
These findings indicate that oral gargling using A-solution is effective in reducing patient halitosis, and improving oral status.
本研究旨在探讨A溶液对术前禁食禁水患者口臭及口腔状况的影响。
本研究采用非等效对照组、非同步前后测设计。本研究的参与者为66例因妇科手术入院的患者。实验性治疗是给予用蒸馏水稀释的A溶液与混合精油进行口腔含漱。为确定实验性治疗效果，使用便携式口臭检测仪、视觉模拟评分法、溴麝香草酚蓝（BTB）、溴甲酚紫（BCP）试纸和口腔评估指南对口臭、唾液pH值和口腔状况进行测量。使用χ²检验、PASW 18.0版本的t检验对数据进行分析。
在实验性治疗前，参与者情况相似。通过便携式口臭检测仪测量，实验组的客观口臭（t = -8.34，p <.001）显著低于对照组。实验组的主观口臭显著降低（t = -9.29，p <.001）。两组之间唾液pH值存在显著差异（t = 8.81，p <.001）。实验组的口腔状况明显更好（t = -13.31，p <.001）。
这些研究结果表明，使用A溶液进行口腔含漱可有效减轻患者口臭，并改善口腔状况。
