糖尿病与非糖尿病口腔颌面部间隙感染患者临床特征与治疗结果的比较研究  

Comparison of the clinical features and treatment outcomes of oral and maxillofacial space infection between diabetic and non-diabetic patients

作　　者：韩小东[1] 安金刚[1] 张益[1] 贺洋[1] 巩玺[1] 

机构地区：[1]北京大学口腔医学院口腔颌面外科,100081

出　　处：《实用口腔医学杂志》2016年第1期63-66,共4页Journal of Practical Stomatology

摘　　要：目的:比较糖尿病与非糖尿病口腔颌面部间隙感染患者的临床特征与治疗结果。方法:回顾性分析比较住院治疗的糖尿病(43例,同时给予控制血糖的治疗)与非糖尿病(84例)口腔颌面部间隙感染患者的临床特征与治疗结果。统计学分析使用T检验、卡方检验及方差分析。结果:糖尿病患者年龄较大(P=0.000),易发生多间隙感染(P=0.035),入院血糖较高(P=0.000)。2组间在抗生素的变更、切开引流次数、并发症发生情况及住院天数上的差异无统计学意义。结论:严格控制血糖的糖尿病患者的预后与非糖尿病患者无明显差异,由于糖尿病患者年龄较大且感染间隙较多,应予以特殊的关注。Objective： To review and compare the clinical features and treatment outcomes of oral and maxillofacial space infection （OMSI） between diabetic and non-diabetic patients. Methods：Clinical data of 43 diabetic patients with OMSI（ simultaneoustly treated by blood sugar control） and 84 of non-diabetic patients with OMSI were reviewed, the clinical features and treatment outcomes were compared. Statistical analyses were conducted by T test, the chi square test and variance analysis. Results ： Diabetic patients with OM- SI were older（ P = 0. 000 ）, had more spaces involved concurrently （ P = 0. 035 ） and had higher blood sugar at presentation （ P = 0. 000）. There was no significant difference between groups about the use and change of antibiotics, the incision times, hospital stay durition and the incidence of the complications. Conclusion ： The prognosis of the diabetic patients with OMSI under the strict control of the blood glucose concentration has no significant difference from the non-diabetic patients with OMSI. Diabetic patients with OMSI have older age and more spaces involved, and special attention should be paid.

关 键 词：糖尿病 口腔颌面部间隙感染 脓肿 

分 类 号：R587.1[医药卫生—内分泌] R782.3[医药卫生—内科学]