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重症监护病房患者的口腔检查结果:一项系统评价。

Oral findings of patients in the intensive care unit: a systematic review.

作者信息

Aranda Gómez María Paula, Chaparro Torres Elizabeth, Hernández Abahunza Nicole Dayanna, Vargas Carreño Anghela Catalina, Herrera Sandoval Laura Viviana, Castellanos Domínguez Yeny Zulay

机构信息

Universidad Santo Tomás, Bucaramanga, Colombia.

出版信息

Rev Cuid. 2025 Feb 27;16(1):e3959. doi: 10.15649/cuidarte.3959. eCollection 2025 Jan-Apr.

DOI:10.15649/cuidarte.3959
PMID:40529943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12161889/
Abstract

INTRODUCTION

Patients in intensive care units often experience a decline in oral health. Systematic reports of oral findings in these patients are scarce.

OBJECTIVE

To document oral cavity lesions in patients in Intensive Care Units.

MATERIALS AND METHODS

A systematic review was conducted, with a literature search across five databases, focusing on publications from 2018 to 2023. The identified articles were imported into the Mendeley reference manager; titles and abstracts were reviewed in pairs and under blinded conditions. Pre-selected articles were exported to the Rayyan application for eligibility assessment. Quality of the studies was assessed using the Joanna Briggs Institute (JBI) tool. This research is classified as risk-free and complies with copyright regulations by exercising citation rights (Law 1915 of 2018 and Law 1032 of 2006).

RESULTS

A total of 1553 articles were identified. Using the PRISMA methodology, 11 studies were included, with 54% retrieved from PubMed and 91% published in English. Toothbrushing was the most frequently documented oral care procedure. Gingivitis and ulcers were the most frequent oral findings.

DISCUSSION

The literature confirms the presence of oral findings in these patients, which are related to their systemic health status, procedures, equipment, and oral health care protocols.

CONCLUSION

Although oral care is provided at a high rate in critically ill patients, oral alterations and lesions are frequently observed. The involvement of a dentist is essential for the comprehensive care of these patients.

摘要

引言

重症监护病房的患者常常会出现口腔健康状况下降的情况。关于这些患者口腔检查结果的系统性报告较为匮乏。

目的

记录重症监护病房患者的口腔病变情况。

材料与方法

进行了一项系统性综述,在五个数据库中进行文献检索,重点关注2018年至2023年的出版物。将检索到的文章导入Mendeley参考文献管理器;在双盲条件下对标题和摘要进行成对评审。将预先选定的文章导出到Rayyan应用程序进行资格评估。使用乔安娜·布里格斯研究所(JBI)工具评估研究质量。本研究被归类为无风险,并通过行使引用权(2018年第1915号法律和2006年第1032号法律)符合版权规定。

结果

共识别出1553篇文章。采用PRISMA方法,纳入了11项研究,其中54%来自PubMed,91%以英文发表。刷牙是记录最频繁的口腔护理操作。牙龈炎和溃疡是最常见的口腔检查结果。

讨论

文献证实了这些患者存在口腔检查结果,这与他们的全身健康状况、操作、设备及口腔卫生护理方案有关。

结论

尽管重症患者接受口腔护理的比例较高,但仍经常观察到口腔改变和病变。牙科医生的参与对这些患者的综合护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/9af5fa19d280/2346-3414-cuid-16-01-e3959-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/f5ec3b3e6fac/2346-3414-cuid-16-01-e3959-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/7e5f0b01321f/2346-3414-cuid-16-01-e3959-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/b164c20c321e/2346-3414-cuid-16-01-e3959-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/9af5fa19d280/2346-3414-cuid-16-01-e3959-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/f5ec3b3e6fac/2346-3414-cuid-16-01-e3959-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/7e5f0b01321f/2346-3414-cuid-16-01-e3959-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/b164c20c321e/2346-3414-cuid-16-01-e3959-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f89/12161889/9af5fa19d280/2346-3414-cuid-16-01-e3959-gf4.jpg

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本文引用的文献

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Int Wound J. 2024 Mar;21(3):e14741. doi: 10.1111/iwj.14741.
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Impact of two endotracheal tube fixation on the incidence of peri-oral lesions: Elastic adhesive strips versus cord in a protective sheath. Study protocol for a cluster cross-over randomized trial.两种气管导管固定方法对口腔周围损伤发生率的影响:弹性胶带与保护套中的缝线。一项集群交叉随机试验的研究方案。
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Mucosal membrane pressure injury in intensive care units: A scoping review.
重症监护病房黏膜膜压力性损伤:范围综述。
Intensive Crit Care Nurs. 2024 Feb;80:103560. doi: 10.1016/j.iccn.2023.103560. Epub 2023 Oct 31.
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The World Health Assembly resolution on integrated emergency, critical, and operative care for universal health coverage and protection from health emergencies: a golden opportunity to attenuate the global burden of acute and critical illness.世界卫生大会关于为全民健康覆盖和防范卫生突发事件提供综合急诊、重症和手术治疗的决议:减轻全球急重症负担的黄金机遇。
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