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| Research status and hot spots of oral care for patients with mechanical ventilation at home and abroad in the past ten years#br# |
| LIU Hongxia1 TANG Li1▲ TIAN Yongming2 LIU Guangdi1 |
1.Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China;
2.Department of Critical Care Medicin, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China |
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Abstract Objective To analyze the home and abroad on oral care of patients with mechanical ventilation in recent ten years, discuss the research hotspots, and provide reference for the follow-up development of this field. Methods CNKI and Web of Science core collection databases were searched to analyze the oral care related studies of patients with mechanical ventilation from January 2011 to December 2020. CiteSpace software was used to visually analyze the number of publications, journals, institutions, keywords, research cooperation and highly cited literatures. Results A total of 728 Chinese and 171 English literatures were included. Contemporary Nurses, Nursing Research, and Nursing in Critical Care were the journals with high volumes of articles. The school of nursing at Fudan University and the School of Medicine at Isfahan University published the most papers. Authors Cao Yanpei and Costa published the most frequently, and Munro published the most cited literatures in 2009. Key words co-occurrence results showed that ventilator-associated pneumonia, oral care, mechanical ventilation, chlorhexidine, and prevention were more frequent at home and abroad. The structure of clustering network is obvious and the result is reasonable. Conclusion Domestic and foreign research focus on the prevention of ventilator-associated pneumonia, oral care improvement, bacterial colonization and clinical efficacy, but the high-yield team and yield concentration is low, it is still necessary to strengthen multi-center collaboration and multi-technology combination to promote the depth and breadth of research in this field.
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[1] 严玉娇，丁娟，刘晁含，等.成人危重症患者气道管理的最佳证据总结[J].护理学报，2021，28（3）：39-45.
[2] 刘晓玲，蔡丽碧，吴文娟，等.集束化护理对ICU经口气管插管患者机械通气期间呼吸机相关性肺炎的影响[J].齐鲁护理杂志，2021，27（5）：61-63.
[3] Cooper AS. Oral Hygiene Care to Prevent Ventilator-Associated Pneumonia in Critically Ill Patients [J]. Crit Care Nurse，2021，41（4）：80-82.
[4] Munro CL，Grap MJ，Jones DJ，et al. Chlorhexidine，toothbrushing，and preventing ventilator-associated pneumonia in critically ill adults [J]. Am J Crit Care，2009，18（5）：428-437.
[5] Labeau SO，Van de Vyver K，Brusselaers N，et al. Prevention of ventilator-associated pneumonia with oral antiseptics：a systematic review and meta-analysis [J]. Lancet Infect Dis，2011，11（11）：845-854.
[6] Scannapieco FA，Yu J，Raghavendran K，et al. A randomized trial of chlorhexidine gluconate on oral bacterial pathogens in mechanically ventilated patients [J]. Crit Care，2009，13（4）：117.
[7] Tantipong H，Morkchareonpong C，Jaiyindee S，et al. Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia [J]. Infect Control Hosp Epidemiol，2008，29（2）：131-136.
[8] Chan EY，Ruest A，Meade MO，et al. Oral decontamination for prevention of pneumonia in mechanically ventilated adults：systematic review and meta-analysis [J]. BMJ，2007，334（7599）：889.
[9] 阿丹，宁昱琛，孙鹏玉，等.基于集束化管理探究改进口腔护理在VAP中的实施效果[J].中国实用护理杂志，2021，37（24）：1892-1896.
[10] Barnes CM. Dental hygiene intervention to prevent nosocomial pneumonias [J]. J Evid Based Dent Pract，2014， 14 Suppl：103-114.
[11] Miranda AF，de Paula RM，de Castro Piau CG，et al. Oral care practices for patients in Intensive Care Units：A pilot survey [J]. Indian J Crit Care Med，2016，20（5）：267-273.
[12] Guerra F，De Martino F，Capocci M，et al. VAP and oral hygiene：A systematic review [J]. Clin Ter，2016，167（6）：198-205.
[13] 刘海棠，许彬彬，唐倩芸，等.口腔干预时机对重症监护病房气管插管患者呼吸机相关肺炎的影响[J].中华医院感染学杂志，2017，27（17）：3848-3851.
[14] Rawat N，Yang T，Ali KJ，et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events [J]. Crit Care Med，2017，5（7）：1208-1215.
[15] McCue MK，Palmer GA. Use of Chlorhexidine to Prevent Ventilator-Associated Pneumonia in a Long-term Care Setting：A Retrospective Medical Record Review [J]. J Nurs Care Qual，2019，34（3）：263-268.
[16] Tuon FF，Gavrilko O，Almeida S，et al. Prospective，randomised，controlled study evaluating early modification of oral microbiota following admission to the intensive care unit and oral hygiene with chlorhexidine [J]. J Glob Antimicrob Resist，2017，8：159-163.
[17] Bardia A，Blitz D，Dai F，et al. Preoperative chlorhexidine mouthwash to reduce pneumonia after cardiac surgery：A systematic review and meta-analysis [J]. J Thorac Cardiovasc Surg，2019，158（4）：1094-1100.
[18] 田靓，朱仁义，彭中玲，等.生物酶类消毒剂口腔护理对机械通气患者呼吸机相关性肺炎的影响研究[J].中华医院感染学杂志，2017，27（1）：101-104，108.
[19] Muramatsu K，Matsuo K，Kawai Y，et al. Comparison of wiping and rinsing techniques after oral care procedures in critically ill patients during endotracheal intubation and after extubation：A prospective cross-over trial [J]. Jpn J Nurs Sci，2019，16（1）：80-87.
[20] 丁楠楠，蒋玲洁，吴雨晨，等.14种口腔护理方法预防呼吸机相关性肺炎效果的网状Meta分析[J].中国护理管理，2020，20（7）：1043-1048.
[21] González-Rubio Aguilar P，?譧valos Arenas V，Vega Gudi?觡o NA，et al. The impact of tooth brushing versus tooth brushing and chlorhexidine application to avoid postoperative pneumonia in children [J]. Am J Infect Control，2019，47（11）：1340-1345.
[22] 郭舒文，谢丽琴，陈开珠，等.双氧水联合碳酸氢钠口腔护理对预防新生儿呼吸机相关性肺炎的效果研究[J].中华护理杂志，2017，52（6）：645-648.
[23] 温景莲，张春丽，陈彩云，等.母乳护理口腔防治新生儿呼吸机相关性肺炎的研究[J].哈尔滨医药，2018，38（3）：292-293.
[24] Yu XR，Xu N，Huang ST，et al. Effects of different oral care strategies on postoperative pneumonia in infants with mechanical ventilation after cardiac surgery：a prospective randomized controlled study [J]. Transl Pediatr，2021，10（2）：359-365.
[25] 杨芳，方瑶，韩志武.改良口腔护理方法对机械通气患者口腔卫生状况及呼吸机相关肺炎发生率的影响[J].第三军医大学学报，2020，42（2）：215-219. |
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