颌面部间隙感染合并血糖异常患者治疗情况分析

Analysis of treatment situation of maxillofacial space infection combined with abnormal blood glucose

目的研究颌面部间隙感染(MSI)合并血糖异常患者的治疗现状。方法回顾性分析本院120例MSI患者的临床资料,记录治疗效果,并根据是否合并血糖异常将患者分为观察组(74例,合并血糖异常者)和对照组(46例,未合并血糖异常者),比较两组患者的临床资料。根据是否接受规范血糖管理将观察组74例患者分为干预组(38例)和未干预组(36例),比较干预组和未干预组的血糖水平、并发症发生率及住院时间。结果 120例MSI患者的病情均得到改善,治疗总有效率为100.00%。观察组的年龄≥65岁患者占比显著高于对照组,差异有统计学意义(P<0.05)。观察组的受累间隙数目显著多于对照组,并发症总发生率高于对照组,住院时间长于对照组(P<0.05)。干预组的空腹血糖和餐后2 h血糖水平显著低于未干预组,住院时间短于未干预组(P<0.05)。干预组与未干预组的并发症发生率比较,差异无统计学意义(P>0.05)。结论高龄MSI患者更易合并血糖异常,住院期间给予患者规范管理血糖有助于控制血糖、缩短住院时间。

Objective To study the treatment status of maxillofacial space infection(MSI) combined with abnormal blood glucose. Methods The clinical data of 120 cases of MSI patients in our hospital were retrospectively analyzed, and the therapeutic effect was recorded. According to whether or not the patients were complicated with abnormal blood glucose or not, the patients were divided into observation group(74 cases, with abnormal blood glucose) and control group(46 cases, without abnormal blood glucose), and the clinical data of the two groups were compared. Seventy-four patients in the observation group were divided into intervention group(38 cases) and non-intervention group(36 cases)according to whether they accepted standard blood glucosemanagement or not, and the blood glucose levels, incidences of complications and hospitalization time of the intervention group and non-intervention group were compared. Results The condition of 120 patients with MSI improved after treatment, and the total effective rate of treatment was 100.00%. The proportion of patients aged over 65 in the observation group was significantly higher than that in the control group( P<0.05). The number of intervals space involved in the observation group was significantly more than that in the control group, the total incidence of complications was higher than that in the control group, and the hospitalization time was longer than that in the control group(P<0.05). The levels of fasting blood glucose and 2 h postprandial blood glucose in the intervention group were significantly lower than those in the non-intervention group, and the hospitalization time was shorter than that in the non-intervention group(P <0.05). There was no significant difference in the incidences of complications between the intervention group and the non-intervention group(P>0.05). Conclusion Elderly MSI patients are more likely to have abnormal blood glucose. Standardized management of blood glucose during hospitalization can help patients control blood glucose and shorten hospitalization time.