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回顾分析口腔颌面部间隙感染发生率和高危因素 被引量:1

Retrospective Analysis about the Incidence and Risk Factors of Maxillofacial Space Infection
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摘要 目的分析口腔颌面部间隙感染发生率现状及高危因素。方法回顾性分析2014年8月~2020年5月阿克苏农一师医院收治的1058例口腔颌面外科患者的临床资料,统计1058例口腔颌面外科患者口腔颌面部间隙感染率,统计口腔颌面部间隙感染患者感染部位,统计口腔颌面部间隙感染患者感染来源,采用单因素和多因素Logistic分析口腔颌面部间隙感染的危险因素。结果1058例口腔颌面外科患者中112例发生口腔颌面部间隙感染,口腔颌面部间隙感染率为10.59%;112例口腔颌面部间隙感染患者感染部位以眶下间隙为主,眶下间隙感染占30.36%;感染来源以牙源性为主,牙源性感染占55.36%;性别、民族不同的患者口腔颌面部间隙感染情况差异无统计学意义(P>0.05);年龄、应用激素比例、合并糖尿病比例、医源性操作不当比例不同的患者口腔颌面部间隙感染情况差异具有统计学意义(P<0.05);高龄、医源性操作不当是口腔颌面部间隙感染的危险因素(P<0.05)。结论本次研究统计口腔颌面部间隙感染率为10.59%,感染部位以眶下间隙为主,感染来源以牙源性为主,高龄、医源性操作不当是口腔颌面部间隙感染的危险因素,临床应针对危险因素采取预防措施,避免口腔颌面部间隙感染发生,减少患者痛苦。 Objective To investigate the incidence and risk factors of maxillofacial space infection(MSI).Methods The clinical data of 1058 patients with oral and maxillofacial surgery,who were admitted in the first agricultural division hospital of Aksu from August 2014 to May 2020,were retrospectively analyzed.The infection rate,infection site and infection source of the selected patients were recorded.Risk factors of MSI were analyzed by univariate and multivariate logistic analysis.Results Among 1058 patients with oral and maxillofacial surgery,112 patients had MSI,and the infection rate was 10.59%.The infection site was mainly in the inferior orbital space,accounting for 30.36%.The main sources of infection were odontogenic,accounting for 55.36%.The incidence rate of MSI showed no difference among patients of different gender and nationality(P>0.05).The incidence rate of MSI showed statistic differences among patients with different age,hormone use,diabetes mellitus,and iatrogenic malpractice(P<0.05).Old age and inappropriate iatrogenic manipulation were risk factors for maxillofacial space infection(P<0.05).Conclusion In this study,the infection in maxillofacial space accounts for10.59%,which is mainly located at suborbital space,and the infection is odontogenic.Meanwhile,older ages and inappropriate iatrogenic manipulation are the risk factors of the MSI,so the corresponding measurements are of vital importance for the prevention of the infection.
作者 杨伟 冯玉龙 YANG Wei;FENG Yu-long(The First Division Hospital of Xinjiang Production and Construction Corps,Aksu,Xinjiang,843000,China)
出处 《新疆医学》 2021年第7期802-804,839,共4页 Xinjiang Medical Journal
关键词 口腔颌面部间隙感染 感染部位 感染来源 危险因素 Maxillofacial space infection Infection site Infection source Risk factors
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