本文選題：口腔頜面部間隙 + 感染��； 參考：《中華醫(yī)院感染學(xué)雜志》2017年13期

【摘要】：目的探討口腔頜面部間隙感染的病原學(xué)分布,并分析感染出現(xiàn)的危險(xiǎn)因素。方法選取2014年1月-2016年6月醫(yī)院收治的患有口腔疾病的患者437例作為研究對(duì)象,調(diào)查住院期間患者口腔頜面部間隙的感染率,通過(guò)對(duì)患者口腔頜面部間隙感染的分泌物進(jìn)行培養(yǎng)及鑒定,分析感染的病原學(xué)分布,細(xì)菌培養(yǎng)采用需氧培養(yǎng)和厭氧培養(yǎng)兩種模式,運(yùn)用單因素及多因素Logistic線性回歸分析方法探討感染的危險(xiǎn)因素。結(jié)果 437例患者發(fā)生口腔頜面部間隙感染39例,感染率為8.9%,共檢出病原菌73株,其中需氧菌37株,厭氧菌15株,兼氧菌21株,感染來(lái)源主要為牙源性感染;單因素分析結(jié)果表明:高齡(≥60歲)、合并糖尿病、應(yīng)用激素、醫(yī)源性操作不當(dāng)?shù)惹闆r的患者相對(duì)而言更容易出現(xiàn)口腔頜面部間隙感染,差異有統(tǒng)計(jì)學(xué)意義(P0.05),logistic回歸模型多因素分析,顯示:高齡(≥60歲)、合并糖尿病、醫(yī)源性操作不當(dāng)為口腔頜面部感染的獨(dú)立危險(xiǎn)因素,應(yīng)用激素與感染無(wú)明顯相關(guān)性。結(jié)論口腔頜面部間隙感染的影響因素較多,最常見(jiàn)的病原菌為金黃色葡萄球菌和草綠色鏈球菌,臨床上應(yīng)該針對(duì)高危因素采取對(duì)應(yīng)預(yù)防措施,積極預(yù)防口腔頜面部間隙感染的發(fā)生。
[Abstract]:Objective to investigate the etiological distribution of oral and maxillofacial space infection and to analyze the risk factors of infection.Methods from January 2014 to June 2016, 437 patients with oral diseases were selected to investigate the infection rate of oral and maxillofacial space.Through the culture and identification of the secretions from oral and maxillofacial space infection, the etiological distribution of the infection was analyzed. The bacterial culture was carried out by aerobic culture and anaerobic culture.Univariate and multivariate Logistic linear regression analysis was used to study the risk factors of infection.Results 39 cases of oral and maxillofacial space infection were found in 437 patients, the infection rate was 8.9%. A total of 73 strains of pathogenic bacteria were detected, including 37 strains of aerobic bacteria, 15 strains of anaerobes and 21 strains of facultative bacteria. The main source of infection was odontogenic infection.Univariate analysis showed that older patients (鈮，

本文編號(hào)：1765102