Yu Xian-Rong, Xu Ning, Huang Shu-Ting, Zhang Qi-Liang, Wang Zeng-Chun, Cao Hua, Chen Qiang
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.
Transl Pediatr. 2021 Feb;10(2):359-365. doi: 10.21037/tp-20-295.
To explore the effects of different oral care strategies on postoperative pneumonia in infants with mechanical ventilation after cardiac surgery.
A prospective randomized controlled study was conducted at a hospital in Fujian Province, China. Participants were randomly divided into the breast milk oral care group, physiological saline oral care group, and sodium bicarbonate oral care group to explore the effects of different oral care strategies on postoperative pneumonia in infants on mechanical ventilation cardiac surgery.
The mechanical ventilation duration, the hospitalization costs, and the length of intensive care unit (ICU) stay and postoperative hospital stay in the breast milk oral care group were significantly shorter than those in the physiological saline oral care group and the sodium bicarbonate oral care group. The incidence of postoperative pneumonia in the breast milk oral care group was 3.2%, which was significantly lower than that in the physiological saline oral care group (22.6%) and the sodium bicarbonate oral care group (19.4%).
Using breast milk for oral care in infants after cardiac surgery has a lower incidence of postoperative pneumonia than traditional oral care strategies of physiological saline and sodium bicarbonate, and it is worthy of clinical application.
探讨不同口腔护理策略对心脏手术后机械通气婴儿术后肺炎的影响。
在中国福建省的一家医院进行了一项前瞻性随机对照研究。参与者被随机分为母乳口腔护理组、生理盐水口腔护理组和碳酸氢钠口腔护理组，以探讨不同口腔护理策略对心脏手术机械通气婴儿术后肺炎的影响。
母乳口腔护理组的机械通气时间、住院费用、重症监护病房（ICU）住院时间和术后住院时间均明显短于生理盐水口腔护理组和碳酸氢钠口腔护理组。母乳口腔护理组术后肺炎的发生率为3.2%，明显低于生理盐水口腔护理组（22.6%）和碳酸氢钠口腔护理组（19.4%）。
心脏手术后婴儿使用母乳进行口腔护理，术后肺炎的发生率低于传统的生理盐水和碳酸氢钠口腔护理策略，值得临床应用。
