口腔医学研究

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (12): 1070-1073.DOI: 10.13701/j.cnki.kqyxyj.2025.12.010

• 口腔颌面外科学研究 • 上一篇    下一篇

口腔颌面部间隙感染患者临床特征分析

吴柳, 陈鑫, 周航, 石建峰*   

  1. 西安交通大学口腔医院口腔医学检测中心 陕西 西安 710004
  • 收稿日期:2025-04-22 出版日期:2025-12-28 发布日期:2025-12-23
  • 通讯作者: *石建峰,E-mail:921676599@qq.com
  • 作者简介:吴柳(1992~ ),女,西安人,硕士,检验师,研究方向:临床基础检验、微生物检验。

Analysis of Clinical Characteristics in Patients with Oral and Maxillofacial Space Infections

WU Liu, CHEN Xin, ZHOU Hang, SHI Jianfeng*   

  1. Oral Medicine Testing Center, Hospital of Stomatology, Xi'an Jiaotong University, Xi 'an 710004, China
  • Received:2025-04-22 Online:2025-12-28 Published:2025-12-23

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摘要： 目的: 分析口腔颌面部间隙感染患者临床特点,探讨血常规、细菌培养在诊断和治疗中的意义。方法: 回顾性研究2017~2023年268例颌面部间隙感染患者病历。结果: 男性占62.69%,女性占37.31%,年龄51~60岁最多;农村人口占比高,农民职业最多;诊断为颌面间隙感染最多,左侧多于右侧;细菌培养中咽峡炎链球菌、星座链球菌最常见;白细胞数目与住院天数相关,低计数者感染轻、住院短;合并疾病中高血压最多。结论: 血常规、细菌检测可提示感染严重程度和治疗效果。建议定期进行口腔检查和专业清洁,及时治疗口腔疾病,保持良好口腔卫生习惯,以预防颌面部间隙感染。

关键词: 口腔颌面部间隙感染, 血常规, 细菌学

Abstract: Objective: To analyze the clinical characteristics of patients with oral and maxillofacial space infections, and to explore the significance of blood tests and bacterial cultures in diagnosis and treatment. Methods: The medical records of 268 patients with maxillofacial space infections from 2017 to 2023 were reviewed. Results: Male patients accounted for 62.69%, while females accounted for 37.31%. The most common age group affected was 51-60 years. A high proportion of patients were from rural areas, and the largest occupation group was farmers. The diagnosis of maxillofacial space infections was the most common, with left-sided infections being more prevalent than those on the right. Streptococcus anginosus and streptococcus constellatus were the most common bacteria isolated in cultures. The number of white blood cells correlated with the length of hospital stay. Lower counts indicated milder infections and shorter hospitalizations. Hypertension was the most common complication observed. Conclusion: Blood tests and bacterial cultures can provide indicators of infection severity and therapeutic effectiveness. It is recommended to conduct regular oral examinations and professional cleanings, promptly treat oral diseases, and maintain good oral hygiene habits to prevent maxillofacial space infections.

Key words: oral and maxillofacial space infections, blood routine, bacteriology