發(fā)布時間：2018-03-02 12:25

  本文選題：口腔頜面部惡性腫瘤　切入點：術(shù)后感染　出處：《新疆醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:分析口腔頜面部惡性腫瘤患者術(shù)后術(shù)區(qū)感染的危險因素。方法:收集2005年1月-2016年12月在新疆醫(yī)科大學(xué)第一附屬醫(yī)院口腔頜面外科進(jìn)行口腔頜面惡性腫瘤手術(shù)患者的臨床資料,分析發(fā)生術(shù)后術(shù)區(qū)感染的可能因素,采用SPSS18.0進(jìn)行數(shù)據(jù)統(tǒng)計。計量資料統(tǒng)計分析采用均數(shù)±標(biāo)準(zhǔn)差,計數(shù)資料采取x2檢驗。結(jié)果:362例口腔頜面惡性腫瘤患者中,發(fā)生術(shù)后術(shù)區(qū)感染43例(12.0%)。分析結(jié)果顯示,術(shù)前白蛋白值、口腔衛(wèi)生、術(shù)后置管時間、住院時間、手術(shù)時間、術(shù)中出血量、圍手術(shù)期用藥及手術(shù)方式是口腔頜面部惡性腫瘤患者發(fā)生術(shù)后術(shù)區(qū)感染的危險因素。結(jié)論:術(shù)前加強(qiáng)患者營養(yǎng)以改善患者術(shù)前白蛋白值,盡可能縮短手術(shù)時間,改善手術(shù)方式,減少術(shù)中出血,加強(qiáng)術(shù)后護(hù)理,減少患者術(shù)后住院時間,合理使用抗菌藥物是降低口腔頜面部惡性腫瘤患者術(shù)后創(chuàng)口感染的重要措施。
[Abstract]:Objective: to analyze the risk factors of postoperative infection in patients with malignant tumor of oral and maxillofacial region. Methods: from January 2005 to December 2016, we collected oral and maxillofacial malignant tumors from January 2005 to December 2016 in the Department of Oral and Maxillofacial surgery, the first affiliated Hospital of Xinjiang Medical University. Clinical data of patients undergoing surgery, The possible factors of postoperative infection were analyzed, and the data were analyzed by SPSS18.0. The mean 鹵standard deviation was used in the statistical analysis of measurement data, and the count data were analyzed by x2 test. Results among 362 patients with oral and maxillofacial malignant tumor, Postoperative infection occurred in 43 cases of postoperative infection. The results showed that the preoperative albumin value, oral hygiene, postoperative tube placement time, hospital stay, operation time, intraoperative blood loss, Perioperative medication and surgical methods are the risk factors for postoperative infection in patients with oral and maxillofacial malignant tumors. Conclusion: the preoperative nutrition should be strengthened to improve the preoperative albumin value, to shorten the operation time and to improve the operation mode. Reducing intraoperative bleeding, strengthening postoperative nursing care, reducing postoperative hospitalization time and rational use of antimicrobial agents are important measures to reduce postoperative wound infection in patients with malignant tumor of oral and maxillofacial region.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R739.8

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本文編號：1556516