闭式冲洗留置负压引流术治疗口腔颌面部间隙感染患者的效果  

Effects of closed flushing and indwelling negative pressure drainage in treatment of patients with oral and maxillofacial space infections

作　　者：赵春阳 孟省 王明 ZHAO Chunyang;MENG Sheng;WANG Ming(Department of Stomatology of Fushun Central Hospital,Fushun 113006 Liaoning,China)

机构地区：[1]抚顺市中心医院口腔科,辽宁抚顺113006

出　　处：《中国民康医学》2022年第13期63-65,76,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察闭式冲洗留置负压引流术治疗口腔颌面部间隙感染患者的效果。方法:选取2019年5月至2021年1月该院收治的100例颌面部间隙感染患者进行前瞻性研究,按照随机数字表法分为对照组与观察组各50例。两组均实施常规抗感染、营养支持与对症治疗,在此基础上,对照组给予传统切开引流术治疗,观察组给予闭式冲洗留置负压引流术治疗。比较两组临床疗效,治疗前后视觉模拟评分法(VAS)评分、脓肿直径和血清炎性因子[白细胞计数(WBC)、高敏C反应蛋白(hs-CRP)、中性粒细胞计数(NEUT)]水平,以及并发症发生率。结果:观察组治疗总有效率为100.00%,高于对照组的80.00%,差异有统计学意义(P<0.05);治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,两组脓肿直径均小于治疗前,且观察组小于对照组,差异有统计学意义(P<0.05);治疗后,两组WBC、hs-CRP、NEUT水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组均未出现明显并发症。结论:闭式冲洗留置负压引流术治疗口腔颌面部间隙感染患者可提高治疗总有效率,降低VAS评分和血清炎性因子水平,缩小脓肿直径,效果优于传统切开引流术治疗。Objective: To observe effects of closed flushing and indwelling negative pressure drainage in treatment of patients with oral and maxillofacial space infections. Methods: 100 patients with maxillofacial space infections treated in our hospital from May 2019 to January 2021were selected for the prospective study, and were divided into control group and observation group according to random number table method, 50cases in each group. Both groups received routine anti-infection, nutritional support and symptomatic treatment. On this basis, the control group was given traditional incision and drainage, while the observation group was given closed flushing and indwelling negative pressure drainage. The clinical efficacy, the visual analogue scale(VAS) score, the abscess diameter, the serum inflammatory factor levels [white blood cell count(WBC), highsensitivity C-reactive protein(hs-CRP), neutrophil count(NEUT)] before and after the treatment, and the incidence of complications were compared between the two groups. Results: The total effective rate of treatment in the observation group was 100.00%, which was higher than 80.00% in the control group, and the difference was statistically significant(P<0.05). After the treatment, the VAS scores of the two groups were lower than those before the treatment, and that of the observation group was lower than that of the control group;the abscess diameters were smaller than those before the treatment, and that of the observation group was smaller than that of the control group;and the differences were statistically significant(P<0.05). After the treatment, the levels of WBC, hs-CRP and NEUT in the two groups were lower than those before the treatment, those of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). However, there were no obvious complications in either group. Conclusions: Closed flushing and indwelling negative pressure drainage in the treatment of the patients with oral and maxillofacial spa

关 键 词：口腔 颌面部 间隙感染 闭式负压引流 疼痛 炎性因子 并发症 

分 类 号：R782.3[医药卫生—口腔医学]