传统切开引流术和封闭式负压引流术治疗颌面间隙感染的临床效果  

Clinical Effects of Traditional Incision Drainage and Closed Negative Pressure Drainage in the Treatment of Maxillofacial Space Infection

作　　者：张俊溢 ZHANG Junyi(Xiamen Fifth Hospital,Xiamen 361101,China)

机构地区：[1]厦门市第五医院,福建厦门361101

出　　处：《中外医学研究》2021年第35期160-163,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较传统切开引流术和封闭式负压引流术治疗颌面间隙感染的临床效果。方法:选取2019年12月-2021年6月本院收治的106例颌面间隙感染患者作为研究主体,按照入院顺序随机分为对照组(n=53)和研究组(n=53),并分别予以传统切开引流术治疗和封闭式负压引流术治疗,比较两组患者治疗效果、并发症发生率、住院时间、抗生素使用时间、肉芽组织生长时间、瘢痕长度、生活质量及满意度。结果:研究组总有效率(94.34%)明显高于对照组(81.13%)(P<0.05);研究组并发症发生率(3.77%)低于对照组(16.98%)(P<0.05);研究组住院时间、瘢痕长度、抗生素使用时间均短与对照组,肉芽组织生长时间早于对照组(P<0.05);研究组社会功能、生理职能、生理功能、精神状态评分均高于对照组(P<0.05);研究组总满意度(88.68%)明显高于对照组(71.70%)(P<0.05)。结论:封闭式负压引流术治疗颌面间隙感染的效果比传统的切开引流术更佳,有助于患者恢复,减少并发症的发生,提升患者生活质量,提高治疗满意度。Objective:To compare the clinical effects of traditional incision drainage and closed negative pressure drainage in the treatment of maxillofacial space infection.Method:A total of 106 patients with maxillofacial space infection treated in our hospital from December 2019 to June 2021 were selected as the research subjects.They were randomly divided into control group (n=53) and study group (n=53) according to the order of admission,and the two groups were treated with traditional incision drainage treatment and closed negative pressure drainage treatment respectively.The treatment effect,the incidence of complications,hospital stay,antibiotic use time,granulation tissue growth time,scar length,quality of life and satisfaction of the two groups were compared.Result:The total effective rate of the study group (94.34%) was significantly higher than that of the control group (81.13%) (P<0.05);the incidence of complications in the study group (3.77%) was lower than that in the control group (16.98%) (P<0.05);the hospital stay,scar length and antibiotic use time in the study group were shorter than those in the control group,and the growth time of granulation tissue was earlier than that in the control group (P<0.05);the scores of social function,physiological function,physiological function and mental state in study group were higher than those in control group (P<0.05);the satisfaction in the study group (88.68%) was significantly higher than that in the control group (71.70%) (P<0.05).Conclusion:The treatment effect of closed negative pressure drainage in the treatment of maxillofacial space infection is better than that of traditional incision drainage,which is helpful for the recovery of patients,reduce the occurrence of complications,improve the quality of life and improve the treatment satisfaction.

关 键 词：颌面间隙感染 封闭式负压引流术 切开引流 

分 类 号：R782.3[医药卫生—口腔医学]