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口腔颌面外科术后感染的临床分析

苟乃政,王晓芹,李霞   

  1. (山东省青岛市胶州中心医院 口腔科1,供应室2,胶州 266300)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-08-25

Clinical Analysis of Postoperative Infection in Patients with Oral and Maxillofacial Surgery

Gou Nai-zheng,Wang Xiao-qin,Li Xia   

  1. (1Department of Stomatology;2Supply Room,Jiaozhou Central Hospital of Qingdao City,Shandong Province,Jiaozhou 266300, China)
  • Received:1900-01-01 Revised:1900-01-01 Online:2016-08-25

摘要: 【摘要】目的:探究口腔颌面外科术后感染的因素,为临床治疗提供有力的数据支持。方法:对本院300例收治的行口腔颌面外科术患者进行回顾性分析,分析其感染情况、不同术后感染症状的影响因素及病原菌分布状况。结果:患者的口腔颌面外科术后感染率为23%,其中以恶性肿瘤切除、良性肿瘤切除和涎腺手术感染率最高;感染者体内共有病源菌59株,其中革兰阴性菌占27.11%,革兰阳性菌占66.10%,真菌占6.78%;患者的年龄、是否有侵入性操作及误吸都是导致口腔颌面术后感染的重要因素。结论:口腔颌面外科术后感染率在23%,其病源菌以革兰阳性菌为主,针对患者的年龄执行个性化的护理方案,重视减少侵入性操作和误吸是改善口腔颌面外科术后感染的关键。

Abstract: 【ABSTRACT】Objective: To explore the factors of postoperative infection in patients with oral and maxillofacial surgery,and to provide strong data support for clinical treatment.Methods:Retrospective analysis was performed on 300 cases of patients admitted to our hospital.The infection status,the influence factors and the distribution of pathogens were analyzed.Results:Patients with oral and maxillofacial surgery after infection rate was 23%,among them to malignant tumor resection,resection of benign tumors and salivary gland surgery infection rate was the highest;infection in total pathogen 59 strains,which gram negative bacteria accounted for 27.11%,gram positive bacteria accounted for 66.10%,fungi accounted for 6.78%;patient's age,invasive operation and aspiration are important factors leading to the oral and maxillofacial postoperative infection.Conclusion:Oral and maxillofacial surgery after infection rate in 23%,the pathogenic bacteria in gram positive bacteria,perform the individual care plan for the patient's age,pay attention to decrease the invasion operation and aspiration is the key to the improvement of oral and maxillofacial surgery after infection.