Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; Shanghai Research Institute of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
J Craniomaxillofac Surg. 2013 Dec;41(8):e208-12. doi: 10.1016/j.jcms.2013.01.020. Epub 2013 Mar 5.
This study aims to analyze the difference between the aged patients and non-elderly with multi-space infections of the head and neck.
A retrospective study was conducted on 242 patients receiving treatment for severe multi-space infections of the head and neck region. Demographics, clinical parameters (the coexisting conditions, the etiology, the length between first symptomatic onset and admission, the number of spaces affected, and the distribution of involved spaces), laboratory values (bacteriology, admission blood glucose level, admission white blood cell count, and percent of neutrophil on admission) and treatment parameters (the number of incisions, complications and length of hospital stay) were collected and analyzed for clinical significance. Statistical analyses of the results between groups were performed using the Student t test, Fisher's exact test, and chi-square.
Compared with the non-elderly, the elderly had more system diseases (P = 0.0002), had longer hospital stays (P = 0.02), and developed more frequent complications (P = 0.04).
This study has determined the differences in clinical features of patients with multi-space infections of the head and neck by comparing the aged patients to non-elder patients.
本研究旨在分析头颈部多间隙感染患者的年龄差异。
回顾性分析了 242 例头颈部多间隙严重感染患者的临床资料。收集并分析患者的一般资料、临床参数（并存疾病、病因、首发症状至入院时间、受累间隙数、受累间隙分布）、实验室指标（细菌学、入院时血糖水平、入院时白细胞计数、入院时中性粒细胞百分比）和治疗参数（切口数、并发症、住院时间），并进行统计学分析。组间比较采用 t 检验、Fisher 确切概率法和卡方检验。
与非老年患者相比，老年患者合并系统疾病的比例更高（P=0.0002），住院时间更长（P=0.02），并发症发生率更高（P=0.04）。
本研究通过比较老年患者与非老年患者，确定了头颈部多间隙感染患者的临床特征差异。
