口腔颌面部间隙感染伴糖尿病28例临床分析  

Diabetic patients with oral and maxillofacial space infection :A clinical analysis of 28 cases

作　　者：凌永昌[1] 刘瑞珍[2] 

机构地区：[1]赣南医学院第一附属医院口腔科,江西赣州341000 [2]赣南医学院解剖教研室,江西赣州341000

出　　处：《中国现代医生》2014年第32期155-157,共3页China Modern Doctor

摘　　要：目的探析口腔颌面部间隙感染伴糖尿病的临床特点。方法收集2012年1月～2014年6月我院口腔科收治的口腔颌面部间隙感染伴糖尿病患者和非糖尿病患者56例的临床资料作回顾性分析。结果两组患者主要感染病因为牙源性感染；观察组感染细菌主要为金黄色葡萄球菌，对照组主要为溶血性链球菌和半链球菌：两组患者感染后白细胞均升高，但观察组中性粒细胞升高明显；观察组切开引流数目、住院时间、并发症情况均高于对照组。结论糖尿病患者口腔颌面部间隙感染主要为牙源性感染且多为金黄色葡萄球菌引起的下颌下间隙感染，其感染较重，临床治疗效果不显著，出现并发症较多。Objective To explore and analyse the clinical characteristics of oral and maxillofaeial clearance infection with diabetes. Methods Collected the clinical data of 56 patients with oral and maxillofacial clearance infection with diabetes and without diabetes received and cured by the department of stomatology of our hospital from January 2012 to June 2014 to conduct retrospective analysis. Results The main infection cause of the two groups of patients was odontogenic infection; the bacteria that infected the observation group were mainly staphylococcus aureus, and that of the comparison group were mainly hemolytic streptococcus and half streptococcus; After being infected, the number of patients leukocyte of the two groups both increased, while the number of the neutrophils increased significantly in the observation group; The number of the incision and drainage and the complications, as well as the hospitalization time in the observation group exceeded that of the control group without exception. Conclusion Diabetic patients oral and maxillofacial clearance infection is mainly the odontogenie infection, and it is mostly the submandibular clearance infection caused by the staphylococcus aureus. The kind of infection is relatively serious, and its clinical therapeutic effect is not significant with more complications.

关 键 词：口腔颌面部 间隙感染 糖尿病 

分 类 号：R782.3[医药卫生—口腔医学]