系统性红斑狼疮患者口腔感染自我护理方法的初步研究
Self-care methods of oral infection in patients with systemic lupus erythematosus
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摘要: 目的 探讨系统性红斑狼疮(systemic lupus erythematosus,SLE)患者口腔感染预防的自我护理方法。 方法 对87例SLE患者口腔感染有关状况进行分析,对发生口腔感染的患者进行护理干预并观察效果,用视觉模拟评分法(VAS)评估疼痛。 结果 SLE患者治疗期间因免疫功能低下易发生口腔感染,所产生的疼痛感影响患者的生活质量,低蛋白、中性粒细胞降低(P<0.05)和不能正确漱口(P<0.001)与患者口腔感染发生相关;以1∶5 000呋喃西林溶液和1∶10 000制霉菌素溶液交替漱口可减轻口腔疼痛、控制口腔感染。 结论 应加强SLE患者自我护理理念,正确应用1∶5 000呋喃西林溶液和1∶10 000制霉菌素溶液交替漱口可治疗和预防口腔感染。Abstract: Objective To study the self-care methods of oral infection in patients with systemic lupus erythematosus(SLE). Methods Oral infection in 87 SLE patients was analyzed.Effect of nursing intervention on oral infection in SLE patients was observed. Results SLE patients were susceptible to oral infection due to immunological hypofunction during treatment.The painful feeling resulted from oral infection would severely affect their life quality.Oral infection was related with low-protein level,neutropenia and inappropriate gargling(P<0.05).Alternative gargling with 1∶5 000 liquor furacilinum and 1∶10 000 liquor nystatin could relieve oral pain and control oral infection. Conclusion SLE patients should strengthen their self-care conception and gargle with 1∶5 000 liquor furacilinum and 1∶10 000 liquor nystatin in turn to prevent oral infection.