糖尿病和非糖尿病患者合并颌面部间隙感染的临床比较

Clinical comparison of maxillofacial space infection in diabetic and nondiabetic patients

目的比较糖尿病与非糖尿病患者合并颌面部间隙感染的严重程度和住院天数。方法回顾分析535例间隙感染患者并对其进行研究,根据是否患糖尿病将其分成2组:糖尿病组和非糖尿病组。比较两组人群在患单间隙感染和多间隙感染、口底蜂窝织炎、发热情况及住院天数间的差异。结果 10年间共诊治的535例患者,其中82例是糖尿病患者,453例为非糖尿病患者。在糖尿病患者中多间隙感染、口底蜂窝织炎及发热患者分别占36.6%,18.3%和89.0%,在非糖尿病患者中分别占19.0%,6.0%和64.9%;两组间比较差异均有统计学差异(P<0.01)。糖尿病患者平均住院天数为(14.87±9.18)d,而非糖尿病患者为(10.58±7.98)d,差异有统计学意义(P<0.01)。结论糖尿病合并口腔颌面部间隙感染时感染更严重,住院时间更长,对糖尿病患者应高度重视。

Objective To compare the severity of infection and the hospital stay in diabetic and non-diabetic patients. Methods A total of 535 patients with maxillofacial space infection were collected and divided into 2 groups ： diabetic group （ n = 82 ） and non- diabetic group （n = 453 ）. The incidences of single and muhiple space infection, cellulitis floor of the mouth, fever and the hospital stay were compared between two groups. Results Incidences of multi-space infection, cellulitis of the floor of mouth and fever were 36. 6% , 18.3 % and 89.0% in diabetic group, and 19.0% , 6.0% and 64.9 % in non-diabetic group. There was significant difference be- tween two groups（ P 〈 0.01 ）. The hospital stay was significantly longer in diabetic patients than in non-diabetic patients [ （14.87±9.18 ） d vs （ 10.58 ± 7.98 ） d,P 〈 0.01 ]. Conclusion Space infections in oral and maxillofaeial region is more serious and the hos- pital stay is longer in diabetic patients, which should be paid great attention to.