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目的探讨糖尿病合并口腔颌面部间隙感染患者的临床特征及治疗结果,为糖尿病合并口腔颌面部间隙感染患者的治疗提供参考依据。方法对2015年2月-2016年5月收治的诊断为口腔颌面部间隙感染150例患者根据有无罹患糖尿病分为糖尿病组68例和非糖尿病组82例,比较两组患者临床特征及治疗结果。结果两组患者的病因主要为牙源性感染,受累间隙感染的位置主要为面下部,两组年龄、受累间隙数目相比差异有统计学意义(P<0.05);糖尿病组培养出最常见的细菌是肺炎克雷伯菌,非糖尿病组是链球菌属;糖尿病组入院时血糖水平高于非糖尿病组,切开引流的切口数量、住院天数及并发症的发生率,两组相比差异有统计学意义(P<0.05)。结论糖尿病与非糖尿病合并口腔颌面部间隙感染患者的临床特征有着较大的差异,糖尿病对口腔颌面部多间隙感染的治疗结果造成影响。
Objective To investigate the clinical features and treatment outcome of patients with diabetes mellitus and oral maxillofacial space infection and provide reference for the treatment of patients with diabetes mellitus and oral and maxillofacial space infection. Methods From February 2015 to May 2016, 150 patients diagnosed as oral and maxillofacial interstitial infection were divided into diabetic group (n = 68) and non-diabetic group (n = 82) according to the presence or absence of diabetes. The clinical characteristics and treatment of the two groups were compared result. Results The main cause of the two groups of patients was odontogenic infection. The location of the interstitial infection in the two groups was mainly in the lower part of the face. There was significant difference between the two groups in the age and the number of involved gaps (P <0.05). The most common The bacteria were Klebsiella pneumoniae and the non-diabetic group was Streptococcus. The blood glucose level of diabetic group was higher than that of non-diabetic group, the incision and drainage incision number, days of hospitalization and complication rate in the two groups Statistical significance (P <0.05). Conclusion The clinical features of patients with diabetes mellitus and non-diabetic patients with gap-infection in oral and maxillofacial region are quite different. Diabetes mellitus affects the outcome of multi-nodal infection in oral and maxillofacial region.