190例口腔颌面部间隙感染合并高血糖患者回顾分析

Retrospective analysis of 190 cases of oral and maxillofacial space infection complicated with hyperglycemia

目的:分析口腔颌面部间隙感染(oral and maxillofacial space infection,OMSI)合并糖尿病、应激性高血糖及血糖正常患者之间一般资料、临床表现、实验室检查及感染的优势菌群之间的差异。方法:收集2020年8月—2022年6月就诊于上海交通大学医学院附属第九人民医院口腔外科的190例OMSI患者进行回顾性分析。根据血糖的差异分成糖尿病组、应激性高血糖组及正常组。比较3组患者的流行病学、临床资料及实验室相关检查的差异。采用SPSS 25.0软件包对数据进行统计学分析。结果:糖尿病组与应激性高血糖组之间淋巴细胞绝对数、钠、氯之间具有显著差异;糖尿病组与血糖正常组之间年龄、中性粒细胞绝对数、中性粒细胞百分数、淋巴细胞百分数、C反应蛋白、IL-6、IL-8、肿瘤坏死因子α、降钙素原、尿素、血清尿酸、纤维蛋白原、钠、氯、总二氧化碳之间具有显著差异;应激性高血糖组与血糖正常组之间中性粒细胞百分数、淋巴细胞百分数、淋巴细胞绝对数、C反应蛋白、IL-8、肿瘤坏死因子α、尿素之间具有显著差异(P<0.05)。结论:OMSI合并糖尿病、应激性高血糖、血糖正常患者的临床特征和实验室检查结果具有差异,提示临床诊疗时应当区分这3组患者,提供更具针对性的治疗措施。

PURPOSE:To analyze the difference between oral and maxillofacial space infection(OMSI)patients with diabetes mellitus,stress hyperglycemia and normal blood glucose in general data,clinical manifestations,laboratory test,and dominant bacterial flora of infection.METHODS:A retrospective study was conducted in 190 patients diagnosed with oral and maxillofacial infection and treated at the Department of Oral Surgery,Shanghai Ninth People's Hospital from August 2020 to June 2022.Statistical analysis of general data,clinical manifestations,laboratory test,and dominant bacterial flora of infection between the three groups was performed with SPSS 25.0 software package.RESULTS:Between diabetic group and stress hyperglycemia group,absolute number of lymphocytes,sodium and chlorine differed significantly;between diabetic group and normal blood glucose group,age,neutrophil absolute number,neutrophil percentage,lymphocyte percentage,C-reactive protein,IL-6,IL-8,tumor necrosis factor-α,procalcitonin,urea,serum uric acid,fibrinogen,sodium,chlorine and total carbon dioxide differed significantly;between stress hyperglycemia group and normal glycemia group,the percentage of neutrophil,percentage of lymphocyte,absolute number of lymphocyte,C-reactive protein,IL-8,tumor necrosis factor-α,and urea differed significantly.CONCLUSIONS:The clinical features and laboratory results of OMSI patients with diabetes,stress hyperglycemia and normal blood glucose are significantly different,suggesting that the three groups of patients should be distinguished in clinical diagnosis and treatment,and more targeted treatment should be provided.