术后肺炎或传染性并发症的一般因素和与牙科相关的危险因素:一项回顾性研究
Emiko Tanaka Isomura1,2, Yukari Fujimoto1, Makoto Matsukawa1
1Department of Oral and Maxillofacial Surgery, Graduate School of Dentistry, Osaka University, 1-8 Yamadaoka, Suita 565-0871, Japan.
Journal of clinical medicine
|May 27, 2023
概括
术后的口腔护理可以预防手术后的肺炎. 然而,预防其他感染需要每天进行牙周治疗,而不仅仅是手术前的护理,特别是对于中度牙疾病的患者.
科学领域:
- 医学 医学 医学 医学 医学
- 牙科 牙科是指牙科的专业.
- 公共卫生 公共卫生
背景情况:
- 术后口腔护理与术后肺炎和感染的减少有关.
- 现有的研究缺乏对影响术后结果的特定口腔感染源的分析.
- 在医疗机构之间,手术前牙科护理标准有很大差异.
研究的目的:
- 调查与术后肺炎和感染相关的因素和牙科疾病.
- 区分口腔卫生对肺炎的影响与一般传染性并发症的影响.
主要方法:
- 对患者数据的回顾性分析.
- 确定术后肺炎和感染的一般和牙科相关风险因素.
主要成果:
- 术后肺炎的一般风险因素包括胸部手术,男性性别,吸烟史和手术时间,但没有特定的牙科因素被确定.
- 手术时间是术后感染性并发症的唯一一般风险因素.
- 牙周口袋深度 (≥4毫米) 是唯一确定的术后感染性并发症的牙科相关风险因素.
结论:
- 立即进行手术前的口服治疗足以预防手术后的肺炎.
- 通过每天的治疗消除中度牙周病,而不仅仅是术前的治疗,对于预防术后感染性并发症至关重要.
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