糖尿病患者合并口腔颌面部间隙感染20例治疗分析

Analysis of 20 cases of patients with diabetes merged oral and maxillofacial space infection

目的：探讨糖尿病患者合并口腔颌面部间隙感染的治疗方法及效果。方法回顾性分析20例糖尿病患者合并口腔颌面部间隙感染的临床资料。结果20例口腔颌面部间隙感染合并糖尿病患者均治疗痊愈，平均治疗时间（18．4±2．8）d。细菌培养结果阳性20例，阳性率100％，其中链球菌感染15例，肺炎克雷伯菌感染4例，白色念球菌感染1例。其中行切开引流术者共20例，行气管切开者共4例。结论糖尿病患者比普通人更易发生颌面部间隙感染，且往往病情较重，治疗较为棘手，除了针对感染局部进行治疗外还需重视对患者全身情况的改善，减少严重并发症发生的风险。

Objective To discuss the methods of treating diabetes merged oral and maxillofacial space infec-tion and their effects.Methods Clinical data of 20 patients with diabetes merged oral and maxillofacial space infec-tion were retrosepectively analyzed.Results All 20 cases of patients with diabetes merged oral and maxillofacial space infection were cured.The mean length of treatment was （18.4 ±2.8）days.There were 20 cases of positive results of bacterial culture,the positive rate was 100%,and there were 15 cases of streptococcal infection,4 cases of klebsiella pneumoniae infection,1 case of candida albicans infection.20 cases of patients was given incision and drainage,4 cases given incision of trachea.Conclusion It was easier for patients with diabetes having maxillofacial space infection,and more serious illness,more difficult for treating.Local infection should be treated,and systemic conditions should be improved as well.The risks of occurrence of serious complications should be reduced.