80例口腔颌面肿瘤术后感染的影响因素分析及防治措施

目的 探讨口腔颌面肿瘤术后感染的影响因素及防治措施.方法 选取了80例口腔颌面肿瘤患者,均行口腔颌面肿瘤外科手术.通过观察并记录感染情况,对相关危险因素进行分析并实施相应的防治措施.结果 口腔颌面肿瘤术后感染人数为35例.单因素分析结果显示,手术时间、住院时间、抗生素给药时间是口腔颌面肿瘤患者感染的危险因素(P<0.05).35例感染患者中32例患者检出病原菌,检出率91.4%,其中革兰阳性菌11例、革兰阴性菌21例,革兰阴性菌所占比例明显高于革兰阳性菌(P<0.05).结论 为了降低口腔颌面肿瘤患者术后感染的几率,有必要加强术后抗感染措施,合理使用抗生素,补充每日所需营养元素,促进患者早日康复.

Analysis of Influence Factor and Prevention of Postoperative Infection of 80 Patients with Oral and Maxillofacial Tumor

Objective To study the influence factor and prevention of postoperative infection of oral and maxillofacial tumor.Methods 80 patients with oral and maxillofacial tumors were selected ,they were given resection surgery .By observing and recording the infection situation ,the related risk factors were analyzed and the corresponding prevention was carried out .Re-sults The number of postoperative infection was 35 cases.The single factor analysis showed that the surgical time ,hospitalization and antibiotics administration time were the risk factors of postoperative infection in patients with oral and maxillofacial tumors ( P<0.05).There were 32 cases of patients infected pathogenic bacteria .The detection rate was 91.4%.Among them,there were 11 cases infected gram positive bacteria and 21 cases infected gram negative bacteria .The proportion of gram negative bacteria was higher than that of gram positive bacteria (P<0.05).Conclusion In order to reduce the risk of postoperative infection in pa-tients with oral and maxillofacial tumors .It is necessary to enhance daily nursing measurs ,use antibiotics reasonablely and supply daily nutrition .It could promote the recovery of patients early .