口腔颌面部间隙感染临床特征分析与治疗探讨

发布时间：2018-03-19 04:29

本文选题：口腔　切入点：颌面部间隙感染　出处：《中华医院感染学杂志》2014年12期 　论文类型：期刊论文

【摘要】：目的分析口腔颌面部间隙感染的临床特征,并探讨高压氧联合脓肿切开引流术的治疗效果。方法选择2009年1月-2013年12月收治的240例口腔颌面部感染患者,将其随机分为研究组123例和对照组117例;收集并分析患者的临床资料,了解其感染部位、感染源,再进行细菌培养,分析病原菌的种类;对照组给予常规治疗,研究组在对照组基础上行脓肿切开引流术联合高压氧治疗,对比两组患者的临床疗效及并发症发生率,所有数据均采用SPSS 17.0统计软件进行分析。结果患者感染部位主要以颌下间隙感染率最高,为37.91%,其次眶下间隙为23.33%;感染源以牙源性感染率最高,为59.17%,其次腺源性感染为26.25%;共培养出186株病原菌,其中革兰阳性菌79株占42.47%,革兰阴性菌107株占57.53%;治疗后研究组总有效率为91.87%、对照组为82.05%,研究组治疗效果显著高于对照组,差异有统计学意义(χ2=4.252,P0.05)。结论高压氧联合脓肿切开引流术能够有效提高口腔颌面部间隙感染的临床疗效,降低并发症发生的风险,值得临床借鉴。
[Abstract]:Objective to analyze the clinical features of oral and maxillofacial space infection and to explore the therapeutic effect of hyperbaric oxygen combined with abscess incision and drainage. Methods 240 patients with oral and maxillofacial infection from January 2009 to December 2013 were selected. They were randomly divided into study group (123 cases) and control group (117 cases). The study group was treated with abscess incision and drainage combined with hyperbaric oxygen on the basis of control group. All the data were analyzed by SPSS 17.0 statistical software. Results the infection rate of submaxillary space was the highest (37.91), followed by suborbital space (23.33), odontogenic infection was the highest. The total effective rate of the study group was 91.87 and that of the control group was 82.05. The total effective rate of the study group was 91.87 and that of the control group was 82.05. The total effective rate of the study group was significantly higher than that of the control group, with 79 Gram-positive bacteria accounting for 42.47 and 107 Gram-negative bacteria accounting for 57.53. Conclusion Hyperbaric oxygen combined with abscess incision and drainage can effectively improve the clinical efficacy of oral and maxillofacial space infection and reduce the risk of complications.
【作者单位】：潍坊市人民医院颌面外科;潍坊市第二人民医院心血管内科;
【基金】：山东省自然科学基金资助项目(Y2006C02)
【分类号】：R782.3

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