CAJ | 학술논문

　　目的对引起颅脑损伤气管切开术后感染率高的因素进行分析研究，探讨其预防措施，提高护理的有效性。方法采用回顾性分析与前瞻性分析结合的方法对我院2010年9月～2011年9月治疗的78例颅脑损伤气管切开患者感染因素进行研究。结果78例患者出现感染42例，其中呼吸道感染20例，手术伤口感染6例，颅内感染4例，泌尿道感染4例，消化道感染3例，皮肤感染3例，其他感染2例。病原学检查结果，共分离出57种病原菌，其中以革兰阴性杆菌为主46株，格兰阳性球菌11株。结论多种因素共同作用导致了颅脑损伤气管切开术后感染率高，通过加强预防提高患者免疫力，医疗合理用药，无菌手术操作等措施提高护理的有效性，降低感染的发生率。
　　목적대인기로뇌손상기관절개술후감염솔고적인소진행분석연구，탐토기예방조시，제고호리적유효성。방법채용회고성분석여전첨성분석결합적방법대아원2010년9월～2011년9월치료적78례로뇌손상기관절개환자감염인소진행연구。결과78례환자출현감염42례，기중호흡도감염20례，수술상구감염6례，로내감염4례，비뇨도감염4례，소화도감염3례，피부감염3례，기타감염2례。병원학검사결과，공분리출57충병원균，기중이혁란음성간균위주46주，격란양성구균11주。결론다충인소공동작용도치료로뇌손상기관절개술후감염솔고，통과가강예방제고환자면역력，의료합리용약，무균수술조작등조시제고호리적유효성，강저감염적발생솔。
Objective To study and analyze traumatic brain injury after tracheotomy infection factor,ex-plore the prevention measure and improve the effectiveness of care. Methods Infectious factors in 78 cases of craniocerebral injury patients with incision of trachea in our hospital from September 2010 to September 2011 treatment were retrospectively and praspectively analyzed.Results 78 cases of patients with this infection was achieved in 42 cases, including 20 cases with respiratory tract infection ,opera-tion wound infection in 6 cases,4 cases of intracranial infection,urinary tract infection in 4 cases, 3 cas-es of digestive tract infection,skin infection in 3 cases, 2 patients with other infections. Etiological ex-amination results, 57 pathogenic bacteria were separated,which mainly including 46 grand negative bacillus strains, 11 strains of grand positive cocci. Conclusion Many factors resulted in traumatic brain injury after tracheotomy in patients with high rates of infection. Strengthening prevention and im-proving immunity, medical medication,sterile operation can improve the effectiveness of care and re-duce the incidence of infection.