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.	杨帆. 不同口腔护理方法预防机械通气患者呼吸机相关性肺炎的效果观察[J]. 卫生职业教育, 2010, 28(10):147-149.
13.	中华口腔医学会口腔黏膜专业委员会. 复发性阿弗它溃疡疗效评价试行标准[J]. 中国新药与临床杂志, 2002, 37(10):636.
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15.	刘春梦, 潘巧芳. 复方氯己定含漱液在口腔护理中的研究进展[J]. 齐鲁护理杂志, 2012, 18(31):49-50.
16.	杨继英, 梁志刚, 郑苍尚, 等. 擦洗法与冲洗法对舌癌患者术后口腔护理的效果[J]. 上海护理, 2013, 13(4):37-38.
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1. 黄国莲, 周理云, 张世凡. 舒适护理在舌癌患者口腔护理中的应用[J]. 江西医药, 2007, 42(1):91-92.
2. 计惠民, 方成根. 口腔护理理论研究与实践进展[J]. 国外医学:护理学分册, 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. 农小群. 口腔护理研究新进展[J]. 护理实践与研究, 2010, 7(8): 98-100.
5. 张绮, 谢蟪旭, 何瑶, 等. 国内部分三甲医院危重疾病患者口腔护理情况调查[J]. 中国循证医学杂志, 2010, 10(6):665-669.
6. 齐会萍, 赵晓丽. 注射式负压吸引法用于口腔护理[J]. 护理学杂志, 2006, 21(2):9.
7. 陈晓英. 临床口腔护理研究新进展[J]. 基层医学论坛, 2009, 13(3): 85-87.
8. 李翔, 曹丽君, 余剑敏. 口腔护理及其研究进展[J]. 卫生职业教育, 2010, 28(6):158-159.
9. 黄金林, 孙珊珊, 李冰. 探讨复方氯己定含漱液在口腔溃疡治疗中的临床效果[J]. 吉林医学, 2014, 35(12):2554-2555.
10. 李晓松. 医学统计学[M]. 3版. 北京:高等医学教育出版社, 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. 杨帆. 不同口腔护理方法预防机械通气患者呼吸机相关性肺炎的效果观察[J]. 卫生职业教育, 2010, 28(10):147-149.
13. 中华口腔医学会口腔黏膜专业委员会. 复发性阿弗它溃疡疗效评价试行标准[J]. 中国新药与临床杂志, 2002, 37(10):636.
14. 白碧荣, 黄萍, 龙兴敏. 口腔护理的临床研究进展[J]. 护士进修杂志, 2003, 18(1):8-9.
15. 刘春梦, 潘巧芳. 复方氯己定含漱液在口腔护理中的研究进展[J]. 齐鲁护理杂志, 2012, 18(31):49-50.
16. 杨继英, 梁志刚, 郑苍尚, 等. 擦洗法与冲洗法对舌癌患者术后口腔护理的效果[J]. 上海护理, 2013, 13(4):37-38.
17. RatcliffPA, Johnson PW. The relation oral nialodor,gingivitis and periodontist[J]. Periodontol, 2003, 70(5):4852-4891.
18. 沈碧强, 姚娟. 复方氯己定含漱液用于经口气管插管患者口腔护理的效果观察[J]. 中国现代药物应用, 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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