| 陈玲,丁婧,程春.口腔颌面外科手术病人口腔感染的临床特点和危险因素分析[J].安徽医药,2019,23(5):986-990. |
| 口腔颌面外科手术病人口腔感染的临床特点和危险因素分析 |
| Clinical characteristics and risk factors of oral infection in patients with oral and maxillofacial surgery and corresponding preventive nursing measures |
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| DOI：10.3969/j.issn.1009-6469.2019.05.041 |
| 中文关键词: 感染控制,口腔 口腔外科手术/副作用 细菌感染 真菌病 危险因素 |
| 英文关键词: Infection control,dental Oral surgical procedures/ adverse effects Bacterial infections Mycoses Risk factors |
| 基金项目: |
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| 摘要点击次数: 2055 |
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| 中文摘要: |
| 目的 探讨口腔颌面外科手术口腔感染的临床特点和相关因素,并分析护理效果。方法 收集新疆医科大学第一附属医院2015年1—12月的809例口腔颌面外科手术的病人为对照组,分析术后口腔感染发生率、病原菌种类以及影响因素,由此提出预防性护理措施。然后收集该院2016年1—12月的939例口腔颌面外科手术的病人为观察组,进行护理干预,比较对照组和观察组病人口腔感染率、口腔评分和病人对护理的满意度。结果 对照组口腔感染率为7.54%(61/809),其中口腔恶性肿瘤切除的口腔感染率最高,约为15.52%(9/58)。在61例口腔感染的病人中,真菌感染5例(8.20%),革兰阳性细菌感染36例(59.02%),革兰阴性细菌感染20例(32.78%),混合性感染27例。单因素和多因素logistic回归分析显示:手术时间、侵入性操作、围手术期预防用药、糖尿病、住院时间和手术性质是影响口腔颌面外科手术后口腔感染发生率的危险因素(P＜0.05)。观察组口腔感染率为2.45%(23/916),口腔评分为(10.36±2.44)分,与对照组相比,差异有统计学意义(χ2＝24.620,P＝0.000;t＝2.134,P＜0.01);观察组的满意度为89.14%,与对照组(87.54%)相比,差异无统计学意义(χ2＝1.114,P＝0.296)。结论 口腔恶性肿瘤切除的口腔感染率最高;手术时间、侵入性操作、围手术期预防用药、糖尿病、住院时间和手术性质等均是影响口腔颌面外科手术后口腔感染发生率的独立危险因素;针对口腔颌面外科手术后口腔感染的相关影响因素进行预防性护理,可显著降低手术病人的口腔感染率,提高病人的口腔评分。 |
| 英文摘要: |
| Objective To explore the clinical characteristics and related factors of oral infection in oral and maxillofacial surgery,put forward the nursing strategies,and analyze the clinical effect of preventive nursing measures.Methods As the control group,809 patients with oral and maxillofacial surgery in the First Affiliated Hospital of Medical University were enrolled during January to December 2015.The incidence of oral infection,the type of pathogens and the factors influencing oral infection were analyzed,and preventive nursing measures were put forward.Then,as the observation group,939 patients with oral and maxillofacial surgery from January to December in 2016 were collected.Nursing intervention was conducted according to the preventive nursing measures.The oral infection rate,oral score and patient satisfaction were compared between the control group and the observation group.Results The infection rate was 7.54% (61/809) in the control group.The infection rate was closely related to the type of operation.The oral infection rate of oral malignancy was the highest,about 15.52%(9/58).In 61 patients with oral infection,fungal infection in 5 cases (8.20%),Gram-positive bacterial infection in 36 cases (59.02%),Gram-negative bacterial infection in 20 cases (32.78%),mixed infection in 27 cases.Univariate and multivariate logistic regression analysis showed that the time of surgery,invasive operation,perioperative prophylaxis,diabetes mellitus,hospitalization time and surgical procedure were risk factors for oral infection after oral and maxillofacial surgery (P＜0.05).The oral infection rate of the observation group was 2.45% (23/916) and the oral score was (10.36±2.44) after nursing intervention.Compared with the control group,the difference was statistically significant (χ2＝24.620,P＝0.000;t＝2.134,P＜0.01).The satisfaction rate of the observation group was 89.14%,which was not statistically significant compared with the control group(87.54%) (χ2＝1.114,P＝0.296).Conclusion A reasonable nursing strategy on the basis of the related influencing factors of oral infection is possible to reduce the oral infection rate and improve the oral score of the patients after oral and maxillofacial surgery.It is also worthy to be popularized. |
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