头颈部多间隙感染呼吸道梗阻相关因素的临床研究
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摘要
目的探讨头颈部多间隙感染呼吸道梗阻的危险因素。方法对279例在浙江大学医学院附属第二医院口腔颌面外科住院治疗的头颈部多间隙感染患者的病历资料进行回顾性分析,将患者分为呼吸道梗阻组和非呼吸道梗阻组,分别从年龄、性别、病因、不良生活习惯和伴随系统性疾病等因素进行研究,使用SPSS 19.0软件包对数据进行统计学分析。结果279例中,58例患者出现呼吸道梗阻,发生率为20.79%;高龄(P=0.006)和伴随系统性疾病(P=0.001)的患者更易发生呼吸道梗阻。结论年龄、全身系统性疾病是头颈部多间隙感染患者发生呼吸道梗阻的危险因素。
Objective To investigate the risk factors of respiratory tract obstruction caused by multi-space infections of headand neck. Methods We reviewed the medical records of 279 patients with multi-space infections of head and neck in The SecondAffiliated Hospital of Zhejiang University from January 2013 to July 2018. Patients were called the group of respiratory tract ob-struction,and the others were called the group of no respiratory tract obstruction,respectively from the age,gender,etiology,badhabits and customs,systemic diseases and other aspects of statistics. Statistical analysis of data was performed using SPSS 19.0 software package. Results In recent years,the number of patients with multi-space infections of head and neck increased signifi-cantly. The incidence of respiratory tract obstruction was found in 58 patients(20.79%);and it was more common in the elderly(P=0.006) and the patients with systemic diseases(P=0.001). Conclusion Age and systemic diseases are the risk factors of respira-tory tract obstruction in patients with multi-space infections of head and neck.
Objective To investigate the risk factors of respiratory tract obstruction caused by multi-space infections of headand neck. Methods We reviewed the medical records of 279 patients with multi-space infections of head and neck in The SecondAffiliated Hospital of Zhejiang University from January 2013 to July 2018. Patients were called the group of respiratory tract ob-struction,and the others were called the group of no respiratory tract obstruction,respectively from the age,gender,etiology,badhabits and customs,systemic diseases and other aspects of statistics. Statistical analysis of data was performed using SPSS 19.0 software package. Results In recent years,the number of patients with multi-space infections of head and neck increased signifi-cantly. The incidence of respiratory tract obstruction was found in 58 patients(20.79%);and it was more common in the elderly(P=0.006) and the patients with systemic diseases(P=0.001). Conclusion Age and systemic diseases are the risk factors of respira-tory tract obstruction in patients with multi-space infections of head and neck.
引文
[1]李庆隆,高峻鹰,王建国,等.口腔颌面部间隙感染临床回顾性分析[J].山西医科大学学报,2013,44(12):985-988.
[2]蔡协艺,黄林剑,姜滨,等. 549例头颈部多间隙感染严重并发症分析[J].中国口腔颌面外科杂志,2015,13(6):539-544.
[3]Bottin R,Marioni G,Rinaldi R,et al. Deep neck infection:apresent-day complication. A retrospective review of 83 cases(1998-2001)[J]. Eur Arch Otorhinolaryngol,2003,260(10):576-579.
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[5]Ridder GJ,Technau-Ihling K,Sander A,et al. Spectrum andmanagement of deep neck space infections:an 8-year experienceof 234 cases[J]. Otolaryngol Head Surg,2005,133(5):709-714.
[6]隆梅辉,牟艳云.颈部多间隙感染诊治4例并文献复习[J].山东大学耳鼻喉眼学报,2015,29(5):94-95.
[7]丛丙峰,丁明超,许方方,等. 144例颌面部间隙感染患者的流行病学分析[J].实用口腔医学杂志,2016,32(2):212-215.
[8]郑凌艳,张伟杰,杨驰,等.口腔颌面部多间隙感染老年患者与中青年患者的临床比较[J].口腔颌面外科杂志,2013,23(5):364-368.
[9]Huang TT,Tseng FY,Liu TC,et al. Deep neck infection in diabeticpatients:comparison of clinical picture and outcomes withnondiabetic patients[J]. Otolaryngol Head Neck Surg,2005,132(6):943-947.
[10]Huang TT,Tseng Fy,Yeh TH,et al. Factors affecting thebacteriology of deep neck infection:a retrospective study of 128patients[J]. Acta Otolaryngol,2006,126(4):396-401.
[11]Lee JK,Kim HD,Lim SC. Predisposing factors of complicateddeep neck infection:an analysis of 158 cases[J]. Yonsei Med J,2007,48(1):55-62.
[12]张伟杰,蔡协艺,杨驰,等.口腔颌面、颈深部及纵隔感染的诊断与处理:附6例分析[J].中国口腔颌面外科杂志,2006,4(6):408-411.
[13]王启晋,欧洪波.颌面部间隙感染的诊治研究进展[J].中国美容医学,2017,26(12):143-145.
[14]赖晓阳,秦淑兰. 200例糖尿病住院患者分析[J].江西医药,2002,37(3):186-187.
[15]Hasegawa J,Hidaka H,Tateda M,et al. An analysis of clinicalrisk factors of deep neck infection[J]. Auris Nasus Larynx,2011,38(1):101-107.
[16]励丽,洪晓倩,褚建平.糖尿病并发医院感染43例临床分析[J].江西医药,2002,37(1):30-32.
[17]Ridder GJ,Maier W,Kinzer S,et al. Descending necrotizingmediastinitis:contemporary trends in etiology,diagnosis,management,and outcome[J]. Annals of surgery,2010,251(3):528-534.
[18]Hsu RF,Wu PY,Ho CK. Transcervical drainage for descendingnecrotizing mediastinitis may be sufficient[J]. Otolaryngology-Headand Neck Surgery,2011,145(5):742-747.
[19]胡银徐.老年口腔颌面部间隙感染患者临床特征分析[J].山东医药,2014,54(22):68-69.
[2]蔡协艺,黄林剑,姜滨,等. 549例头颈部多间隙感染严重并发症分析[J].中国口腔颌面外科杂志,2015,13(6):539-544.
[3]Bottin R,Marioni G,Rinaldi R,et al. Deep neck infection:apresent-day complication. A retrospective review of 83 cases(1998-2001)[J]. Eur Arch Otorhinolaryngol,2003,260(10):576-579.
[4]Huang TT,Liu TC,Chen PR,et al. Deep neck infection:analysis of185 cases[J]. Head Neck,2004,26(10):854-860.
[5]Ridder GJ,Technau-Ihling K,Sander A,et al. Spectrum andmanagement of deep neck space infections:an 8-year experienceof 234 cases[J]. Otolaryngol Head Surg,2005,133(5):709-714.
[6]隆梅辉,牟艳云.颈部多间隙感染诊治4例并文献复习[J].山东大学耳鼻喉眼学报,2015,29(5):94-95.
[7]丛丙峰,丁明超,许方方,等. 144例颌面部间隙感染患者的流行病学分析[J].实用口腔医学杂志,2016,32(2):212-215.
[8]郑凌艳,张伟杰,杨驰,等.口腔颌面部多间隙感染老年患者与中青年患者的临床比较[J].口腔颌面外科杂志,2013,23(5):364-368.
[9]Huang TT,Tseng FY,Liu TC,et al. Deep neck infection in diabeticpatients:comparison of clinical picture and outcomes withnondiabetic patients[J]. Otolaryngol Head Neck Surg,2005,132(6):943-947.
[10]Huang TT,Tseng Fy,Yeh TH,et al. Factors affecting thebacteriology of deep neck infection:a retrospective study of 128patients[J]. Acta Otolaryngol,2006,126(4):396-401.
[11]Lee JK,Kim HD,Lim SC. Predisposing factors of complicateddeep neck infection:an analysis of 158 cases[J]. Yonsei Med J,2007,48(1):55-62.
[12]张伟杰,蔡协艺,杨驰,等.口腔颌面、颈深部及纵隔感染的诊断与处理:附6例分析[J].中国口腔颌面外科杂志,2006,4(6):408-411.
[13]王启晋,欧洪波.颌面部间隙感染的诊治研究进展[J].中国美容医学,2017,26(12):143-145.
[14]赖晓阳,秦淑兰. 200例糖尿病住院患者分析[J].江西医药,2002,37(3):186-187.
[15]Hasegawa J,Hidaka H,Tateda M,et al. An analysis of clinicalrisk factors of deep neck infection[J]. Auris Nasus Larynx,2011,38(1):101-107.
[16]励丽,洪晓倩,褚建平.糖尿病并发医院感染43例临床分析[J].江西医药,2002,37(1):30-32.
[17]Ridder GJ,Maier W,Kinzer S,et al. Descending necrotizingmediastinitis:contemporary trends in etiology,diagnosis,management,and outcome[J]. Annals of surgery,2010,251(3):528-534.
[18]Hsu RF,Wu PY,Ho CK. Transcervical drainage for descendingnecrotizing mediastinitis may be sufficient[J]. Otolaryngology-Headand Neck Surgery,2011,145(5):742-747.
[19]胡银徐.老年口腔颌面部间隙感染患者临床特征分析[J].山东医药,2014,54(22):68-69.