张国润 1陈巨峰 1杨晓莹 1冼淡 1李嘉朋 1李金1
作者信息
- 1. 佛山市第一人民医院口腔医学中心,佛山 528000
- 折叠
摘要
Abstract
Objective:To investigate the possible risk factors leading to adverse outcomes in patients with oral and maxillofacial space infection(OMSI)and to provide references for clinical prevention and treatment.Methods:The clinical data of 320 patients with OMSI who were admitted from January 2012 to October 2022 were collected.The χ 2 test was used to analyze the effects of patient sex,age,time from infection onset to medical consultation,affected anatomical spaces,infection etiology,number of involved spaces,bacterial culture results,whether diabetes mellitus(DM)was present,whether incision and drainage was performed,C-reactive protein(CRP),neutrophil percentage(NEUT%),white blood cell count(WBC)on patient hospitalization outcomes.Multivariate logistic regression analysis was further performed to identify risk factors for adverse outcomes in OMSI patients.Results:This study included a total of 320 patients,49(15.3%)had adverse outcomes,which included 24 cases of severe complications,32 cases of hospitalization exceeding 15 days,and 1 death.The χ 2 test indicated that age,number of involved spaces,whether DM was present,whether incision and drainage was performed,WBC,NEUT%and CRP were risk factors for adverse outcomes in OMSI patients.Multivariate logistic regression analysis revealed that comorbid DM,no performance of incision and drainage,and NEUT exceeding 90%were independent risk factors for adverse outcomes in OMSI patients.Conclusion:The likelihood of adverse outcomes is relatively high in OMSI patients.Comorbid DM,absence of incision and drainage,and NEUT exceeding 90%were significant risk factors for adverse outcomes in these patients.关键词
口腔颌面部间隙感染/并发症/不良结局/单因素分析/多因素logistic回归分析Key words
oral and maxillofacial space infection/complications/adverse outcomes/univariate analysis/multivariate logistic regression analysis分类
口腔医学
