Analysis of clinical characteristics of oral and maxillofacial space infections and study on its treatment

LIANG Tian-qi; NAN Xin-rong; YAN Xing-quan; ZHANG Peng

doi:10.19538/j.kq.2017.06.007

Abstract：Objective To analyze the characteristics of oral and maxillofacial space infection and the clinical differences between different patients,and to explore the targeted therapy.Methods Totally 380 patients with oral and maxillofacial space infection in First Hospital of Shanxi Medical University from January 2011 to November 2016 were selected.Retrospectively analyze pathogenic site,source of infection,bacterial infection and clinical efficiency.Patients were divided into diabetic group and elderly group,and their clinical features of disease were analyzed.SPSS17.0 software was used for statistical analysis.Results Submandibular space accounted for 26.05％ of the single-space infection,masseteric and infraorbital space accounted respectively for 12.11％ and 11.05％;odontogenic infection accounted for 68.16％;Staphylococcus aureus accounted for 31.22％,and Pseudomonas aeruginosa accounted for 28.08％;total effective rate of treatment was 98.95％;fasting blood glucose,hospital stay,multiple space infection and complication had significant difference between diabetic group and non-diabetic group (P ＜ 0.05);hospital stay,multiple space infection and complication had significant difference between elderly group and control group (P ＜ 0.05).Conclusion Oral and maxillofacial space infection are mostly odontogenic;elderly and diabetic group have longer hospital stay and higher incidence rate of multiple space infection and complication,and their state of illness tend to be severer;not only are antibiotics and surgery used for clinical treatment,but glycemic control and actively systemic support treatment should be performed,which can improve physical fitness and promote healing.