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심경부 감염환자의 수술적 치료 결정의 예측인자로서 C-반응단백과 고혈압의 의의: 후향적 코호트 연구

C-Reactive Protein and High Blood Pressure are the Predictive Factors of Deciding the Surgical Treatment in Deep Neck Infection: A Retrospective Cohort Study

대한이비인후과학회지-두경부외과학
2018년 61권 9호 p.472 ~ p.477
손정협 ( Sohn Jung-Hyeob ) - 인제대학교 의과대학 상계백병원 이비인후과학교실

김보영 ( Kim Bo-Young ) - 인제대학교 의과대학 상계백병원 이비인후과학교실
조경래 ( Cho Kyoung-Rai ) - 인제대학교 의과대학 상계백병원 이비인후과학교실

Abstract

Background and Objectives: In clinical settings, some deep neck infections may be managed by conservative treatment but some still require surgical treatment. In this study, we use univariate and multivariate analysis to discuss whether or not there are significant differences between conservative treatment and surgical treatment on patients with deep neck infections.

Subjects and Method: We conducted a retrospective analysis using medical records of 88 patients with deep neck infections from January 2010 to December 2015. Among 88 patients, 56 patients were managed by conservative treatment with antibiotics and 32 patients were managed by surgical treatment via transcervical approach with antibiotics. As for data analysis, Mann-Whitney U test and multiple logistic regression analysis was used.

Results: Age, duration from symptom onset to hospitalization, hospital days, incidence of underlying disease, white blood cell count, erythrocyte sedimentation rate, and C-reactive protein (CRP) were found higher in the surgical treatment group than in the conservative treatment group. But there was no statistical significance except for the incidence of high blood pressure and CRP.

Conclusion: CRP and incidence of high blood pressure were significant predictive factors for choosing the surgical treatment in deep neck infection. Contrary to our expectations, the incidence of diabetes mellitus was not a significant factor that determined the treatment options for the patients with deep neck infection.

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학술진흥재단(KCI) KoreaMed 대한의학회 회원 
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