文章摘要
周子琪,郭丽娟,杨 森,蔡开智,任 俊.高压氧联合负压封闭引流术治疗口腔颌面部间隙感染的效果观察[J].,2021,(8):1525-1528
高压氧联合负压封闭引流术治疗口腔颌面部间隙感染的效果观察
Effect of Hyperbaric Oxygen Combined with Vacuum Sealing Drainage on Oral and Maxillofacial Space Infection
投稿时间:2020-11-04  修订日期:2020-11-25
DOI:10.13241/j.cnki.pmb.2021.08.027
中文关键词: 负压封闭引流术  高压氧  口腔颌面部间隙感染  超敏C反应蛋白  降钙素原  白细胞计数
英文关键词: Negative pressure closed drainage  Hyperbaric oxygen  Oral and maxillofacial space infection  High-Sensitivity C-reactive protein  Procalcitonin  White blood cell count
基金项目:国家自然科学基金项目(81600819);四川省科学技术厅基金项目(2018FZ0113);中华口腔医学会西部行口腔医学临床科研基金项目(CSA-W-2016-01);四川省科技支撑计划项目(2104SZ0038)
作者单位E-mail
周子琪 遵义医科大学口腔医学院口腔颌面外科教研室 贵州 遵义 563000 zhouziqiapril77@163.com 
郭丽娟 遵义医科大学口腔医学院口腔颌面外科教研室 贵州 遵义 563000遂宁市中心医院医疗美容科 四川 遂宁 629000  
杨 森 遂宁市中心医院口腔颌面外科 四川 遂宁 629000  
蔡开智 遂宁市中心医院口腔颌面外科 四川 遂宁 629000  
任 俊 遂宁市中心医院口腔颌面外科 四川 遂宁 629000  
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中文摘要:
      摘要 目的:研究高压氧联合负压封闭引流术治疗口腔颌面部间隙感染的效果。方法:选择2017年12月~2019年12月于遂宁市中心医院(我院)的100例口腔颌面部间隙感染患者,将其随机分为两组。对照组的50例口腔颌面部间隙感染患者在常规清创后采用负压封闭引流术,观察组的50例口腔颌面部间隙感染患者在负压封闭引流术的基础上联用高压氧疗法。检测两组的超敏C反应蛋白(High sensitivity C-reactive protein, hs-CRP)、降钙素原(Procalcitonin , PCT)和白细胞(White blood cell, WBC)计数水平;并记录两组的伤口愈合时间、住院时间和肉芽组织生长时间。结果:观察组口腔颌面部间隙感染患者的有效率明显高于对照组(P<0.05);治疗后,两组的血清hs-CRP、PCT和WBC水平均明显降低(P<0.05),且观察组的血清hs-CRP、PCT和WBC水平明显低于对照组(P<0.05);观察组口腔颌面部间隙感染患者的伤口愈合时间、住院时间和肉芽组织生长时间均明显短于对照组(P<0.05)。结论:高压氧联合负压封闭引流术能明显降低口腔颌面部间隙感染患者的血清hs-CRP、PCT和WBC水平,加快创腔创面肉芽组织的生长速度,提高疗效,值得进行推广。
英文摘要:
      ABSTRACT Objective: To investigate the effect of hyperbaric oxygen combined with vacuum sealing drainage in the treatment of oral and maxillofacial space infection. Methods: A total of 100 patients with oral and maxillofacial space infection, who were treated in Suining Central Hospital from December 2017 to December 2019, were selected and were randomly and equally divided into two groups. The control group was treated with vacuum sealing drainage after conventional debridement, and the observation group was treated with hyperbaric oxygen therapy on the basis of vacuum sealing drainage. The levels of hs-CRP, PCT and WBC were detected, and the wound healing time, hospitalization time and granulation tissue growth time of the two groups were recorded. Results: The effective rate of the observation group was significantly higher than that of the control group(P<0.05). After treatment, the serum hs-CRP, PCT and WBC levels of the two groups were significantly reduced (P<0.05), and the serum hs-CRP, PCT and WBC levels of the observation group were significantly lower than those of the control group(P<0.05). The wound healing time, hospitalization time and granulation tissue growth time of patients with oral and maxillofacial space infection in the observation group were significantly shorter than those in the control group (P<0.05). Conclusion: Hyperbaric oxygen combined with vacuum sealing drainage can significantly reduce the levels of serum hs CRP, PCT and WBC in patients with oral and maxillofacial space infection, accelerate the growth rate of granulation tissue in wound cavity and improve the curative effect, which is worthy of promotion.
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