Application of Oral Wash Care by Compound Chlorhexidine Giuconatie Gargle for Patients after Radical Surgery of Tongue Cancer_West China Medical Journal

Authors：

LIJing-yan ,  FUGuang-xin , ZHUOQiu-ping

Department of Oral and Maxillofacial Surgery, the A liated Hospital of Stomatology of Luzhou Medical College, Luzhou, Sichuan 646000, P. R. China;

Corresponding?author：

FUGuang-xin, Email: fuguangxin2005@163.com

Keywords：

Tongue cancer radical surgery; Oral care; Compound gargle solution

DOI：

10.7507/1002-0179.20150543

Video：

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Objective To observe the effect of compound chlorhexidine gargle wash care for patients after radical surgery of tongue cancer. Methods Between January 2013 and March 2014, 40 patients with tongue cancer who underwent radical surgery without radiation therapy or chemotherapy before operation were selected and randomly divided into compound chlorhexidine giuconatie gargle solution group (intervention group, n=19) and traditional oral care group (control group, n=21). Then we compared the two groups in terms of bacterial colony number, oral cavity cleanness, incidence rate of bad breath and oral ulcer. Results Before intervention, there was no significant diTherences between the two groups in the number of bacterial colony, oral cavity cleanness or oral odor (P>0.05). After treatment, the bacterial colony number and incidence of oral ulcer in the intervenient group were significantly lower, and oral odor was slighter than that of the control group (P<0.05). Oral cavity cleanness between the two groups was not significantly different (P>0.05). Conclusion Compound chlorhexidine gargle wash care for patients after radical surgery of tongue cancer was better than the traditional treatment in terms of bacterial colony number, incidence rate of bad breath and oral ulcer. It is worth clinical popularizing.

Citation： LIJing-yan, FUGuang-xin, ZHUOQiu-ping. Application of Oral Wash Care by Compound Chlorhexidine Giuconatie Gargle for Patients after Radical Surgery of Tongue Cancer. West China Medical Journal, 2015, 30(10): 1940-1943. doi: 10.7507/1002-0179.20150543 Copy

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12.	楊帆. 不同口腔護理方法預防機械通氣患者呼吸機相關性肺炎的效果觀察[J]. 衛生職業教育, 2010, 28(10):147-149.
13.	中華口腔醫學會口腔黏膜專業委員會. 復發性阿弗它潰瘍療效評價試行標準[J]. 中國新藥與臨床雜志, 2002, 37(10):636.
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15.	劉春夢, 潘巧芳. 復方氯己定含漱液在口腔護理中的研究進展[J]. 齊魯護理雜志, 2012, 18(31):49-50.
16.	楊繼英, 梁志剛, 鄭蒼尚, 等. 擦洗法與沖洗法對舌癌患者術后口腔護理的效果[J]. 上海護理, 2013, 13(4):37-38.
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1. 黃國蓮, 周理云, 張世凡. 舒適護理在舌癌患者口腔護理中的應用[J]. 江西醫藥, 2007, 42(1):91-92.
2. 計惠民, 方成根. 口腔護理理論研究與實踐進展[J]. 國外醫學:護理學分冊, 2002, 21(10):453-455.
3. Paulsson G, Nederfors T, Fridlund B. Conceptions of oral health among nurse managers. A qualitative analysis[J]. J Nurs Manag, 1999, 7(5):299-306.
4. 農小群. 口腔護理研究新進展[J]. 護理實踐與研究, 2010, 7(8): 98-100.
5. 張綺, 謝蟪旭, 何瑤, 等. 國內部分三甲醫院危重疾病患者口腔護理情況調查[J]. 中國循證醫學雜志, 2010, 10(6):665-669.
6. 齊會萍, 趙曉麗. 注射式負壓吸引法用于口腔護理[J]. 護理學雜志, 2006, 21(2):9.
7. 陳曉英. 臨床口腔護理研究新進展[J]. 基層醫學論壇, 2009, 13(3): 85-87.
8. 李翔, 曹麗君, 余劍敏. 口腔護理及其研究進展[J]. 衛生職業教育, 2010, 28(6):158-159.
9. 黃金林, 孫珊珊, 李冰. 探討復方氯己定含漱液在口腔潰瘍治療中的臨床效果[J]. 吉林醫學, 2014, 35(12):2554-2555.
10. 李曉松. 醫學統計學[M]. 3版. 北京:高等醫學教育出版社, 2014: 90-92.
11. Danser MM, Gómez SM, Van Der Weijden GA. Tongue coating and tongue brushing:a literature review[J]. Int J Dent Hyg, 2003, 1(3): 151-158.
12. 楊帆. 不同口腔護理方法預防機械通氣患者呼吸機相關性肺炎的效果觀察[J]. 衛生職業教育, 2010, 28(10):147-149.
13. 中華口腔醫學會口腔黏膜專業委員會. 復發性阿弗它潰瘍療效評價試行標準[J]. 中國新藥與臨床雜志, 2002, 37(10):636.
14. 白碧榮, 黃萍, 龍興敏. 口腔護理的臨床研究進展[J]. 護士進修雜志, 2003, 18(1):8-9.
15. 劉春夢, 潘巧芳. 復方氯己定含漱液在口腔護理中的研究進展[J]. 齊魯護理雜志, 2012, 18(31):49-50.
16. 楊繼英, 梁志剛, 鄭蒼尚, 等. 擦洗法與沖洗法對舌癌患者術后口腔護理的效果[J]. 上海護理, 2013, 13(4):37-38.
17. RatcliffPA, Johnson PW. The relation oral nialodor,gingivitis and periodontist[J]. Periodontol, 2003, 70(5):4852-4891.
18. 沈碧強, 姚娟. 復方氯己定含漱液用于經口氣管插管患者口腔護理的效果觀察[J]. 中國現代藥物應用, 2015, 9(9):174-176.

West China Medical Journal

Application of Oral Wash Care by Compound Chlorhexidine Giuconatie Gargle for Patients after Radical Surgery of Tongue Cancer

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