126例口腔颌面部间隙感染患者的病原菌分布及临床分析.DOC

126例口腔颂面部间隙感染患者的病原 分布及临床分析 何伟 湖北职业技术学院口腔医学院 （1） A的探讨门腔颌面部间隙感染的病原菌分布情况、感染途径及发生并发症 的影响因素，为临床诊治提供参考依据。（2）方法对126例口腔颂而部多间隙 感染患者的病历资料进行回顾性分析，分别从细菌培养、感染情况、并发症的发 生等方面进行统计，应用SPSS 20.0软件对数据进行分析。（3）结果口腔颂 面部间隙感染最主要的病原菌为革兰氏阳性菌，其中以金黄色葡萄球菌最为常 见，占30. 2%;最主要的的感染途径是牙源性感染，占64. 3%;并发症的发生与患 者职业、是否合并有糖尿病、入院白细胞数O10X107L）、间隙受累数量有关， 差异有统计学意义（P0. 05）,患者性别、年龄、合并心脑血管疾病因素差异无 统计学意义（P〉0.05）。（4）结论口腔颌面部间隙感染病情较急，易造成严重 危害，必须采取有效的防治措施，减少其发生。 关键词： 口腔颌面部;间隙感染;病原菌;并发症; 研究方向：口腔颌面外科及口腔医 学教育。 Pathogenic bacteria distribution and clinical analysis of 126 patients with oral and maxillofacial space infection HE Wei Department ofStomatology, Hubei Vocat i onal and Technical College; Abstract： Objective To investigate the distribution of pathogenic bacteria in oral and maxillofacial space infection, the route of infection and the influencing factors of complications, and to provide reference for clinical diagnosis and treatment. Methods 126 cases of oral and maxillofacial region from January 2012 to January 2016 admitted space infection medical records of the patients were retrospectively analyzed, respectively from the bacterial culture, infection, complications and other aspects of statistics, using SPSS 20. 0 software package to analyze the data. Results Oral and maxillofacial space infection is the main pathogenic bacteria of gram positive bacteria, in which Staphylococcus aureus is the most common, accounting for 30. 2%;the main route of infection is odontogenic infection, accounted for 64.3%;the incidence of complications in patients with diabetes is associated with occupation, admission, the number of white blood cell ( 10 X 107D , the number of space involvement, the difference was statistically significant (P 0. 05)，gender，age, and different factors of cardiovascular and cerebrovascular diseases had no statistical significance (P 0. 05) . Conclusion The infection of oral and maxillofacial space is more serious, and it is easy to cause serious harm. Keyword： Oral and maxillofacial region; Space infection