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目的:研究妊娠期口腔颌面多间隙感染的特点和预防治疗方法。方法:选取20例妊娠期口腔颌面多间隙感染患者的临床资料,分析患者疾病感染的临床特征与治疗方法。结果:实施痰培养后,检出肺炎克雷伯菌13株,金黄色葡萄球菌6株,草绿色链球菌3株,肺炎克雷伯菌与其他两种株菌检出率差异有统计学意义(P<0.05)。患者平均换药时间为(12.53±3.29)天,根据医嘱给予抗生素治疗,抗生素平均使用时间为(7.59±1.23)天。治疗后随访6个月,所有患者均顺利分娩,自然分娩13例,人工分娩7例,新生儿指标无异常。结论:需尽早对妊娠期口腔颌面多间隙感染进行诊断,早期感染切开引流,使用抗生素对患者进行治疗可取得显著疗效,确保患者顺利分娩。
Objective: To study the characteristics and prevention and treatment of multiple oral infections in pregnancy. Methods: The clinical data of 20 cases of multiple oral infections of pregnancy and oral cavity were selected to analyze the clinical characteristics and treatment of patients with disease infection. Results: After sputum culture, 13 strains of Klebsiella pneumoniae, 6 strains of Staphylococcus aureus and 3 strains of Streptococcus viridans were detected. The detection rates of Klebsiella pneumoniae and other two strains were statistically different (P <0.05). The average time for dressing change was (12.53 ± 3.29) days. According to the doctor’s advice, the average antibiotic treatment time was (7.59 ± 1.23) days. All the patients were successfully delivered after delivery for 6 months. Thirteen cases of spontaneous labor and 7 cases of artificial labor were found. No abnormalities were found in neonates. Conclusion: The diagnosis of multiple oral or maxillofacial infections during pregnancy should be diagnosed as early as possible. Early infection and incision and drainage should be treated with antibiotics to achieve a significant curative effect to ensure the smooth delivery of the patients.