保守治疗与手术治疗路德维希咽峡炎的结局比较。
Comparison of Outcomes in Conservative versus Surgical Treatments for Ludwig's Angina.
出版信息
Med Princ Pract. 2018;27(4):362-366. doi: 10.1159/000490740. Epub 2018 Jun 10.
OBJECTIVE
To compare the treatment outcomes in patients with early stage Ludwig's angina who received intravenous antibiotics alone with those who received surgical decompression and intravenous antibiotics.
SUBJECTS AND METHODS
Individuals with early stage Ludwig's angina were studied using a retrospective cohort study design from August 1997 to September 2017. Data were collected from case notes and logbooks. Appropriate statistical tests were chosen to analyze both the independent and outcome variables. Using 2-tailed test, a level of significance of 0.05 was chosen.
RESULTS
A total of 55 patients comprising 38 (69.1%) males and 17 (30.9%) females were studied. The conservative group had a higher number of cases that developed airway compromise (26.3%) when compared to those with surgical approach (2.9%). There was an association between the treatment approach and the development of airway compromise (χ2[1] = 4.83, p = 0.03).
CONCLUSION
There was a higher incidence of airway compromise in patients treated with intravenous antibiotics alone than in those treated with surgical decompression and intravenous antibiotics.
目的
比较单独接受静脉抗生素治疗和接受手术减压联合静脉抗生素治疗的早期路德维希咽峡炎患者的治疗结果。
方法
本研究采用回顾性队列研究设计，对 1997 年 8 月至 2017 年 9 月期间的早期路德维希咽峡炎患者进行研究。数据来自病历和日志。选择适当的统计检验方法来分析独立变量和结果变量。采用双侧检验，选择显著性水平为 0.05。
结果
共纳入 55 例患者，其中 38 例（69.1%）为男性，17 例（30.9%）为女性。与手术组（2.9%）相比，保守组出现气道梗阻的病例更多（26.3%）。治疗方法与气道梗阻的发生之间存在关联（χ2[1] = 4.83，p = 0.03）。
结论
与接受手术减压联合静脉抗生素治疗的患者相比，单独接受静脉抗生素治疗的患者气道梗阻的发生率更高。
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