不同年龄口腔颌面部间隙感染患者的临床特点分析  

Clinical characteristics of oral and maxillofacial space infection in patients with different ages

作　　者：郭治辰 胡旻 龚忠诚[1] 王岳森[3] GUO Zhi-chen;HU Min;GONG Zhong-chen;WANG Yue-sen(Oncology Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital of Xinjiang Medical University.Urumqi 830054,Xinjiang Uygur Autonomous Region;Urumqi Mayo Dental Hospital.Urumqi 830002,Xinjiang Uygur Autonomous Region;Department of Oral and Maxillofacial Surgery,Henan University of Science and Technology.Luoyang 471000,Henan Province,China)

机构地区：[1]新疆医科大学第一附属医院颌面肿瘤外科,新疆乌鲁木齐830054 [2]新疆乌鲁木齐市美奥口腔医院,新疆乌鲁木齐830002 [3]河南科技大学第一附属医院口腔颌面外科,河南洛阳471000

出　　处：《上海口腔医学》2018年第5期538-541,共4页Shanghai Journal of Stomatology

摘　　要：目的:分析不同年龄口腔颌面部间隙感染患者的临床特点,为并发症的防治提供理论依据。方法:回顾分析2007年3月—2017年2月间新疆医科大学第一附属医院颌面肿瘤外科收治的348例口腔颌面部间隙感染手术患者的病例资料,包括一般状况、临床症状、感染来源、治疗效果和并发症。采用SPSS20.0软件包对数据进行统计分析。结果:348例患者中,高龄患者152例(43.28%),青年患者196例(56.32%),高龄患者中,男91例(59.87%),青年患者中,男117例(59.69%),两组的性别组成差异无统计学意义(P>0.05);高龄患者发生并发症112例(73.68%),青年患者49例(25.00%),高龄患者更容易发生严重的并发症,本研究还发现,从症状出现到就诊的时间、2组患者实验室检查(白细胞、血糖水平)差异无统计学意义(P>0.05),青年患者细菌培养阴性101例(51.53%),青年患者有更高的细菌培养阴性率(P<0.05),在细菌的组成中,两组患者差异均具有统计学意义(P<0.05)。结论:在口腔颌面部间隙感染中,高龄患者和青年患者有着许多相同的临床表现,但高龄患者较青年患者更容易发生严重并发症。PURPOSE： To analyze the general information,clinical symptoms, etiology of infection, and complications of oral and maxillofacial space infection in patients with different ages, in order to provide references for prevention of complications. METHODS： Three hundred and forty-eight patients with oral and maxillofacial space infection treated in the Oncology Department of Oral and Maxillofacial Surgery of the First Affiliated Hospital of Xinjiang Medical University were retrospectively analyzed from March 2007 to Feburary 2017. Statistical analysis was performed with SPSS 20.0 software package. RESULTS： All patients were divided into 2 groups. 152（43.68%） patients were senior and 196（56.32%） patients were younger. In the two groups, male patients accounted for 59.69% in the younger group, 59.87% in the senior group. There was no significant difference. We also have found that label test and interval times of symptoms appeared to visit. There was no significant difference. 51.53% of the younger patients had negative bacterial culture results, which was significantly more than those of the senior groups. CONCLUSIONS： In patients with oral and maxillofacial space infection, senior patients had many similar clinical characteristics to younger patients, but senior patients suffered from more and severe complications.

关 键 词：口腔颌面部间隙 感染 多间隙感染 

分 类 号：R782.3[医药卫生—口腔医学]