Analysis of related factors of postoperative fever in patients with oral and maxillofacial tumor radical treatment and simultaneous repair and reconstruction
10.3760/cma.j.cn.1672-7088.2020.11.000
- VernacularTitle:口腔颌面肿瘤根治同期修复重建患者术后发热相关因素分析
- Author:
Xingfang HE
1
;
Qiuyu HUANG
;
Dongye YANG
;
Yijun DENG
;
Shuai WANG
;
Yantong LIN
Author Information
1. 中山大学附属口腔医院口腔颌面外科 广东省口腔医学重点实验室，广州 510055
- From:
Chinese Journal of Practical Nursing
2020;36(29):2294-2298
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the fever rate, disease distribution, fever degree and fever related factors of the patients in the same period of oral and maxillofacial tumor repair and reconstruction.Method:A retrospective analysis was performed on 153 patients who underwent radical treatment of oral and maxillofacial tumors from January 2018 to December 2018 in the affiliated stomatological hospital of sun yat-sen university. The patients were divided into fever group and non fever group, and their fever influencing factors were analyzed.Result:Among the 153 patients, 97 (63.40%) had fever symptoms.It’s mainly moderate fever. The incidence of fever was the highest in gingival cancer and oropharyngeal cancer.The results of univariate analysis showed that there were statistically significant differences in serum albumin, tracheotomy and infection between the two groups ( χ2= 7.74, 7.48, 8.58, P<0.01 or 0.05).Logistic multivariate regression analysis showed that infection and tracheotomy were independent influencing factors for postoperative fever in patients with oral and maxillofacial tumor repair and reconstruction (or = 4.74, 2.47, P < 0.05). Conclusion:Patients with oral and maxillofacial tumors undergoing radical treatment and simultaneous repair and reconstruction are more likely to have fever after surgery. Tracheotomy patients and patients with infection need to be paid more attention. They need to be strengthened tracheotomy care and actively prevent infection, so as to reduce the postoperative fever rate, and make the patients with oral malignant tumors repaired and reconstructed at the same time go through the perioperative period smoothly.
