糖尿病与非糖尿病口腔颌面部间隙感染患者临床差异及治疗结果研究

Clinical differences and treatment outcomes of patients with oral and maxillofacial space infection with diabetes and without diabetes

  • 摘要: 目的 探讨糖尿病合并口腔颌面部间隙感染患者的临床特征及治疗结果,为糖尿病合并口腔颌面部间隙感染患者的治疗提供参考依据。方法 对2015年2月-2016年5月收治的诊断为口腔颌面部间隙感染150例患者根据有无罹患糖尿病分为糖尿病组68例和非糖尿病组82例,比较两组患者临床特征及治疗结果。结果 两组患者的病因主要为牙源性感染,受累间隙感染的位置主要为面下部,两组年龄、受累间隙数目相比差异有统计学意义(P<0.05);糖尿病组培养出最常见的细菌是肺炎克雷伯菌,非糖尿病组是链球菌属;糖尿病组入院时血糖水平高于非糖尿病组,切开引流的切口数量、住院天数及并发症的发生率,两组相比差异有统计学意义(P<0.05)。结论 糖尿病与非糖尿病合并口腔颌面部间隙感染患者的临床特征有着较大的差异,糖尿病对口腔颌面部多间隙感染的治疗结果造成影响。

     

    Abstract: OBJECTIVE To investigate the clinical characteristics and treatment outcomes of diabetes mellitus patients with oral and maxillofacial space infection, so as to provide clinical basis for the treatment of diabetic patients with oral and maxillofacial space infection. METHODS A total of 150 cases of patients with oral and maxillofacial space infections admitted from Feb. 2015 to May 2016 were retrospectively analyzed. According to the presence or absence of diabetes mellitus, they were divided into diabetes group with 68 cases and non-diabetic group with 82 cases, and the clinical characteristics and treatment outcomes of the two groups were compared. RESULTS The main cause of the two groups of patients was odontogenic infection, the location of infection was mainly in the lower part of the face, and the age and the number of the space involved of the two groups had significant differences(P<0.05). The common bacteria were Klebsiella pneumoniae in diabetes group and Streptococcus non-diabetic group. The blood glucose level of diabetic group was higher than that of non-diabetic group, and the incision number of incision and drainage, the hospitalization days and the incidence of complications of the two groups had significant differences (P<0.05). CONCLUSION The clinical characteristics of diabetes mellitus and non-diabetic patients with oral and maxillofacial space infection are quite different. Diabetes mellitus affects the treatment of multiple gap infection in oral and maxillofacial region.

     

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