口腔颌面部间隙感染患者治疗的临床研究

发布时间：2018-05-29 02:03

本文选题：口腔 + 颌面部　；参考：《中华医院感染学杂志》2016年07期

【摘要】：目的探讨口腔颌面部间隙感染患者的临床特征和治疗方案,以期能为后期治疗提供参考。方法选取2013年1月-2015年1月医院收治的100例口腔颌面部间隙感染患者为研究对象,分析其口腔颌面部间隙感染患者的感染部位、病原菌、综合治疗的临床疗效和并发症发生情况,数据采用SPSS 19.0软件进行统计分析。结果 100例口腔颌面部间隙感染患者中以牙源性感染和腺源性感染为主,分别占67.00%、20.00%;感染部位以颌下间隙感染为主,共37例占37.00%;检出100株病原菌,以革兰阴性菌为主,68株占68.00%;临床治疗总有效率为95.00%,并发症发生率为11.00%。结论口腔颌面间隙感染多为牙源性感染,病情发展较快,在对患者进行综合治疗的同时若能够掌握患者感染的部位和病原菌,进行有针对性的治疗,能够提高临床疗效。
[Abstract]:Objective to investigate the clinical features and treatment of oral and maxillofacial space infection in order to provide reference for later treatment. Methods from January 2013 to January 2015, 100 patients with oral and maxillofacial space infection were selected as the study subjects, and the infection sites and pathogens of the patients with oral and maxillofacial space infection were analyzed. The clinical efficacy and complications of comprehensive therapy were analyzed by SPSS 19.0 software. Results among 100 patients with oral and maxillofacial space infection, odontogenic infection and adenogenic infection were dominant, accounting for 67.00% and 20.00%, respectively, and 37 cases (37.00%) were found to be infected by submaxillary space infection. 100 strains of pathogenic bacteria were detected. 68 strains of Gram-negative bacteria accounted for 68.00 strains, the total effective rate of clinical treatment was 95.00 and the incidence of complications was 11.00. Conclusion the oral and maxillofacial space infection is mostly odontogenic infection, and the disease develops rapidly. If we can grasp the location of infection and pathogenic bacteria of the patients, we can improve the clinical curative effect if we can treat the patients with oral and maxillofacial space infection at the same time.
【作者单位】：咸宁市中心医院同济咸宁医院口腔科;咸宁市妇幼保健院儿童保健科;咸宁市妇幼保健院耳鼻喉科;广水市妇幼保健院妇产科;广水市马坪镇卫生院妇产科;
【基金】：湖北省科学技术厅基金资助项目(EK020158)
【分类号】：R782.3

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