攀西地区115例重症口腔颌面颈部多间隙感染临床回顾性分析  

Life-threatening oral, maxillofacial and cervical multiple space infection in Panxi area of Sichuan province: A retrospective analysis of 115 cases

作　　者：代天国 徐波[1] 冉红兵[1] 邱银秀 程进强[1] 刘应凯 高婧 DAI Tianguo;XU Bo;RAN Hongbing;QIU Yinxiu;CHENG Jinqiang;LIU Yingkai;GAO Jing(Department of Stomatology,Panzhihua Central Hospital,617067,China;Department of Otolaryngology Head and Neck Surgery,Panzhihua Central Hospital,Panzhihua Central Hospital,617067,China)

机构地区：[1]攀枝花市中心医院口腔科,617067 [2]攀枝花市中心医院耳鼻咽喉头颈外科,617067

出　　处：《实用口腔医学杂志》2023年第2期260-263,共4页Journal of Practical Stomatology

基　　金：四川省卫健委科研课题(编号:20PJ276)。

摘　　要：重症口腔颌面颈部多间隙感染患者占总住院患者的3.95%(115/2 910),其中男女比1.88∶1,平均年龄53岁(6~83岁),牙源性感染占80%,农村人群占79.13%。从发病到就诊时间平均为9.5 d(3~30 d),仅33.91%就诊于1周内。入院前3.48%的患者未接受过任何治疗,19.13%自服消炎药,县、乡两级医院仅对9例患者开髓、6例患者脓肿切排。入院后80例患者采用一次性多功能引流管辅助冲洗技术治疗,32例采用传统治疗。多功能引流管治疗组治愈率(90%vs 75%,P=0.03),住院天数(15.01±0.53 vs 18.13±0.85,P=0.02),抗菌药物使用天数(11.89±0.43 vs 16.25±0.84,P<0.00),医生换药频次(5.71±0.28 vs 23.75±1.63,P<0.00)等均优于传统组。The patients with life-threatening oral,maxillofacial and cervical multiple space infection accounted for 3.95%(115/2910)of the total inpatients in the authors department,the rural population accounted for 79.13%.The ratio of male to female was 1.88∶1,the average age was 53 years(6-83 years old),the odontogenic infection accounted for 80%,the average time from disease onset to the hospital was 9.5 days(3-30 days),only 33.91%of the hospital visits were within 1 week.Before admission,3.48%of the patients had not received any treatment,and 19.13%took anti-inflammatory drugs by themselves.County and township hospitals only performed pulpotomy drainage in 9 patients,abscess incision and drainage in 6 patients.After admission,80 patients were treated with disposable multifunctional drainage tube(DMDT)assisted with irrigation technology,32 patients were treated with traditional treatment.The cure rate(90%vs 75%,P=0.03),hospital stay days(15.01±0.53 vs 18.13±0.85,P=0.02),days of use of antibiotics(11.89±0.43 vs 16.25±0.84,P<0.00)and dressing change frequency(5.71±0.28 vs 23.75±1.63,P<0.00)in the DMDT group were better than those in the traditional treatment group.

关 键 词：重症 多间隙感染 口腔颌面颈部 多功能引流管 

分 类 号：R782[医药卫生—口腔医学]