闭式冲洗留置负压引流口腔颌面部间隙感染的临床研究  

Clinical study on closed washing indwelling vacuum sealing drainage for patients with oral and maxillofacial space infection

作　　者：俞丹[1] 陈舜岳[1] 王姝[1] 卢宇[1] 周荣湖 

机构地区：[1]浙江省台州市立医院口腔科,浙江台州318000 [2]杭州爱德医院普外科,浙江杭州310004

出　　处：《中国现代医生》2014年第4期108-110,共3页China Modern Doctor

基　　金：浙江省医学会医学发展计划一般资助项目(2010-ZW046)

摘　　要：目的探讨对口腔颌面部间隙感染患者实施闭式冲洗留置负压引流的临床方法。方法选取颌面部间隙感染患者120例,随机分为两组,其中对照组57例,观察组63例,使其有可比性。对照组患者在全身应用抗生素的基础上常规每天换药冲洗;观察组患者在全身应用抗生素的同时行闭式冲洗留置负压引流。对两组患者治疗效果进行评价,并对两组患者治疗前后疼痛情况和脓肿大小进行测量。结果观察组患者临床显效率、总有效率分别为93.65%和100.00%,对照组分别为78.95%和82.46%,观察组患者明显高于对照组;经过治疗,观察组患者疼痛和脓肿直径分别为(0.41±0.37)和(0.52±0.39)cm,对照组分别为(1.37±0.92)和(1.28±0.83)cm,观察组患者疼痛和脓肿直径下降率分别为(94.71±10.20)%和(92.63±9.87)%,对照组患者分别为(81.35±13.25)%和(81.78±10.29)%。两组患者疼痛及脓肿大小较治疗前均有明显下降,且观察组患者下降更为明显。上述比较差异明显,有统计学意义(P<0.05)。结论对口腔颌面部间隙感染患者实施闭式冲洗留置负压引流是一种有效、简便的治疗方法,将其应用于临床可以有效提高治疗效果并减少患者的痛苦。Objective To observe the clinical method of closed washing indwelling vacuum sealing drainage for patients with oral and maxillofacial space infection. Methods A total of 120 patients with oral and maxillofacial space infection were selected and divided into two groups randomly, the control group for 57 cases and the observation group for 63 cases. The control group were treated with conventional dressing flush everyday on the basis of applying antibiotics, and the observation group were treated with closed washing indwelling vacuum sealing drainage wile using antibiotics. The pain and the size of the abscess after treatment of two groups were measured. Results The clinically significant efficiency and the total effective rate of the observation group were 93.65% and 100.00%, and that of the control group were 78.95% and 82.46%, which indicated that the observation group was higher evidently than the control group. After treatment, the pain and the diameter of the abscess of the observation group were （0.41±0.37） and （0.52±0.39） cm, and that of the control group were （1.37±0.92） and （1.28±0.83）em. The descent rate of the pain and the diameter of the abscess of the observation group were （94.71±10.20）% and （92.63±9.87）%, and that of the control group were （81.35±13.25）% and （81.78±10.29）%. The pain and the abscess size of two groups reduced evidently compared with that before treatment, and the observation group reduced more evidently. The differenee was evidently, which had statistical significance （P〈0.05）. Conclusion Implementing closed washing indwelling vacuum sealing drainage on patients with oral and maxillofaeial space infecion is effective and easy. Applying it to clinical practice can evidently improve the treatment effect and reduce the pain of the patients.

关 键 词：闭式冲洗 负压引流 口腔 颌面 间隙感染 

分 类 号：R782.3[医药卫生—口腔医学]