双管负压引流在口腔颌面部多间隙感染治疗中应用效果研究.docVIP

双管负压引流在口腔颌面部多间隙感染治疗中应用效果研究 　　[摘要] 目的 对治疗患者的口腔颌面部多间隙感染过程中，采取双管负压引流法取得的效果以及具有的安全性进行探讨。方法 方便选取该院外科在2016年3―9月期间内，进行治疗的口腔颌面部多间隙感染患者70例为分析对象，将全部患者分成对照组（35例）与观察组（35例），观察组在治疗中选择了双管负压引流法，而对照组选择的是传统的切开引流法，该两组患者均是依据脓液的细菌培养情况来用抗生素实施治疗，并将两组患者在治疗之后的感染间隙愈合情况进行对比。 结果 观察组的全部患者治疗的有效率达到100.00%，明显高于对照组（88.57%），两组患者的有效率对比差异有统计学意义（χ2=5.042，P0.05）。 结论 总之，对口腔颌面部多间隙感染患者进行治疗时，采取双管负压引流法与传统的切开引流法有更好的效果，具有很大的临床推广价值。 　　[关键词] 双管负压引流；面部多间隙感染；口腔疾病治疗 　　[中图分类号] R246.83 [文献标识码] A [文章编号] 1674-0742（2016）12（c）-0079-03 　　[Abstract] Objective To study the effect of double-tube negative pressure drainage and its safety in the treatment of oral and maxillofacial multi-gap infection. Methods Convenient selection 70 cases of oral and maxillofacial multi-gap infection were treated in our hospital from March 2016 to September 2016. All patients were divided into control group （35 cases） and observation group 35 cases）， the observation group in the treatment of choice of double-tube negative pressure drainage method， and the control group selected the traditional incision and drainage method， the two groups of patients are based on bacterial culture of pus to antibiotic treatment， And the healing of infection gap between the two groups after treatment was compared. Results The effective rate of all the patients in the observation group was 100.00%， which was significantly higher than that in the control group （88.57%）. There was significant difference between the two groups （χ2=5.042，P0.05）. Conclusion In short， the treatment of oral and maxillofacial multi-gap infection， the use of double-tube negative pressure drainage method and the traditional incision and drainage method has a better effect， with great clinical value. 　　[Key words] Double tube negative pressure drainage； Facial multi-gap infection； Oral disease treatment 　　口腔?M面部单间隙感染被看成是口腔颌面外科之中的一种易发病与常见病，该病不但起病很急、而且发展迅速，如果没有及时进行治疗或者采取的治疗措施不当，则该病就会更大范围的扩散，进而发展为多间隙感染[1]，使患者呼吸更加困难、引起危害极大的并发症（如：脓毒血症与菌血症等），严重的还会导致死亡。为了探讨有效的治疗方法，在临床上对于颌面部多间隙感染患者，该院方便选择外科在