合并原发性、继发性糖尿病的口腔颌面部间隙感染的临床特点

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (47 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo analyze the clinical features of oral and maxillofacial space infection in patients with primary and secondary diabetes mellitus.MethodsThe clinical data of 138 patients diagnosed with oral and maxillofacial space infection treated in department of oral and maxillofacial surgery from April 2011 to April 2016was retrospectively analyzed.According to diabetes history and clinical examination,they were divided into secondary diabetes mellitus group (39 cases),primary diabetic group(53 cases)and control group[46 cases(non diabetes)].ResultsIn the primary diabetes mellitus group,secondary diabetes group and control group,the space infection rate of men (62.26%,64.10%,62.26%) was obviously higher than that of women respectively(37.74%,35.90%,37.74%)(P＜0.05).The incidence rate of odontogenic infection in primary diabetes mellitus group(86.79%)was significantly higher than that of the secondary diabetes group(66.67%)and control group(67.39%)(P＜0.05).The heating rate of secondary diabetes mellitus group(100.00%) and the rate of multiple clearance (100.00%)was significantly higher than that in the primary diabetes mellitus group (90.57%,41.51%)and the control group(58.70%,19.57%)(P＜0.05).Abscess drainage in patients with diabetes mellitus were mainly for bacterial strains of Klebsiella pneumoniae,and there was significant difference between two groups(P＜0.01).ConclusionDiabetes mellitus complicated with infection of oral and maxillofacial space infection is more serious, and secondary diabetes mellitus is more serious than that of primary diabetic patients.Patients with diabetes mellitus should be attached great importance,especially those with secondary diabetes.

Key words： Diabetes mellitus Oral and maxillofacial space infection Odontogenic

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WU Xian-yi

Cite this article:

WU Xian-yi. The clinical features of oral and maxillofacial space infection in patients with primary and secondary diabetes mellitus[J]. 中国当代医药, 2017, 24(2): 98-100转103.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I2/98

[2]	张赟，谢富强，孙健，等.西北地区颌面部间隙感染65例临床总结[J].口腔颌面外科杂志，2013，23（5）：374-377.
[3]	李志进，郭家平，王虎中，等.糖尿病患者颌面颈部间隙感染的临床研究[J].实用口腔医学杂志，2010，26（5）：668-670.
[5]	李小军，张小萍.34例合并有糖尿病的颌面部间隙感染临床观察与研究[J].中国微生态学杂志，2015，27（4）：453-459.
[7]	李金超，李守宏，夏伟，等.颌面部多间隙感染致纵膈脓肿1例报告及文献复习[J].临床口腔医学杂志，2012，28（12）：727-728.
[1]	Rao DD，Desai A，Kulkarni RD，et al.Comparison of maxillofacial space infection in diabetic and nondiabetic patients [J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod，2010，110（4）：7-12.
[4]	Zhang C，Tang Y，Zheng M，et al.Maxillofacial space infection experience in West China：a retrospective study of 212 cases[J].Int J Infect Dis，2010，14（5）：e414-e417.
[6]	Zheng L，Yang C，Zhang W，et al.Is there association between severe multispace infections of the oral maxillofacial region and diabetes mellitus?[J].J Oral Maxillofac Surg，2012，70（7）：1565-1572.
[8]	吕卫民，尚保杰，张慧，等.老年患者颌面部间隙感染临床诊治体会[J].中国现代医生，2011，49（1）：148-149.
[9]	张煜，李雪，滕志海.牙周基础治疗对糖尿病患者血糖控制的影响[J].实用口腔医学杂志，2009，25（5）：722-724.
[10]	Huang TT，Tseng FY，Yeh TH，et al.Factor saffecting the bacteriology of deep neck infection：a retrospective study of 128 patients[J].Acta Otolaryngol，2006，126（4）：396-401.
[11]	刘志勇.糖尿病患者口腔颌面部多间隙感染治疗效果影响因素分析[J].当代医学，2014，20（16）：67-68.
[12]	王晓颖，颜兴，韩培彦，等.糖尿病并颌面部间隙感染诊治分析[J].中华实用诊断与治疗杂志，2011，25（11）：1118-1119.
[13]	刘景文，范勇斌.糖尿病患者颌面部间隙感染的治疗[J].吉林医学，2010，31（31）：5510-5511.
[14]	吕继连，孙歌鸿，张瑞.重症口腔颌面部间隙感染合并糖尿病31例临床分析[J].中国医学创新，2015，12（17）：21-23.
[15]	孙茜，王鹏华，李代清.糖尿病足多重耐药铜绿假单胞菌感染情况及危险因素分析[J].中华临床感染病杂志，2012，5（1）：15-18.