144例口腔颌面部间隙感染并发症及入ICU监护的危险因素分析
Risk factors for complications and ICU care of 144 cases with oral and maxillofacial space infection
张银银 1朱岩岩 1丁嘉慧 1孙玉华2
作者信息
- 1. 徐州医科大学 口腔医学院,江苏 徐州 221000
- 2. 徐州医科大学 口腔医学院,江苏 徐州 221000;徐州医科大学附属医院 口腔颌面外科,江苏 徐州 221000
- 折叠
摘要
目的:分析因口腔颌面部间隙感染(OMSI)住院的患者在院期间出现并发症和在重症监护室(ICU)监护的相关危险因素.方法:选择2021年1月-2022年3月就诊于徐州医科大学附属医院的OMSI患者144例.收集患者年龄、性别、住院时长、系统性疾病、体质指数(BMI)、感染来源和累及部位数目、并发症以及实验室指标,包括白细胞计数(WBC)、中性粒细胞百分比(NEU％)、C反应蛋白(CRP)等数据.采用SPSS 25.0软件包对数据进行统计学分析.结果:144例OMSI患者中,52例(36.1％)出现并发症,其中34.6％伴有气道梗阻症状;54例(37.5％)转入ICU监护.多因素Logistic回归分析显示,CRP值高(OR=1.005,95％ CI:1.000～1.011,P=0.048)是患者出现并发症的危险因素.出现并发症(OR=5.249,95％ CI:1.644～16.754,P=0.005)、住院时间＞10 d(OR=1.166,95％ CI:1.049～1.295,P=0.004)、间隙累及数目多(OR=2.719,95％ CI:1.658～4.460,P＜0.001)、BMI 值高(OR=1.262,95％ CI:1.050～1.515,P=0.013)是影响 ICU 监护的独立危险因素.结论:CRP、BMI值高和感染累及间隙数目多与患者出现并发症和ICU监护密切相关,需要加强对此类患者的管理,治疗过程中综合考量,避免不良预后发生.
Abstract
PURPOSE:To analyze the related risk factors of complications and intensive care unit(ICU)monitoring in pa-tients hospitalized for oral and maxillofacial space infection(OMSI).METHODS:A total of 144 patients with OMSI ad-mitted to the Affiliated Hospital of Xuzhou Medical University from January 2021 to March 2022 were selected.The pa-tient's age,gender,length of hospital stay,systemic diseases,body mass index(BMI),source of infection and number of in-volved sites,complications,and laboratory indicators including white blood cell count(WBC),neutrophil percentage(NEU％),C-reactive protein(CRP)were collected.SPSS 25.0 software package was used for data analysis.RESULTS:Among 144 patients with OMSI,52 cases(36.1％)had complications,of which 34.6％had symptoms of airway obstruction;54 cases(37.5％)were transferred to ICU.Multivariate logistic regression analysis showed that high CRP value(OR=1.005,95％ CI:1.000-1.011,P=0.048)were risk factors for patients with possible complications.Complications(OR=5.249,95％CI:1.644-16.754,P=0.005),hospital stay longer than 10 days(OR=1.166,95％ CI:1.049-1.295,P=0.004),more space in-volvement(OR=2.719,95％CI:1.658-4.460,P＜0.001),and high BMI(OR=1.262,95％ CI:1.050-1.515,P=0.013)were in-dependent risk factors affecting ICU monitoring.CONCLUSIONS:High CRP and BMI values and the number of infected spaces are closely related to the complications of patients and ICU monitoring.Therefore,it is necessary to strengthen the management of such patients and take comprehensive consideration in the treatment process to avoid the occurrence of adverse prognosis.
关键词
口腔颌面部间隙感染/并发症/ICU/危险因素/预后Key words
Oral and maxillofacial region/Space infection/Complication/Risk factors/Prognosis引用本文复制引用
基金项目
江苏省高等学校自然科学研究面上项目(12KJB320015)
出版年
2024
NETL
NSTL
万方数据