CAJ | 학술논문

　　目的：讨论神经外科术后颅内感染的相关因素。方法：选择2009年7月～2012年8月，我院神经外科进行颅脑手术的患者共572例，选择其中发生颅内感染的70例患者为观察组，另外随机选择无明显感染症状的70例患者作为对照组，比较两组性别、年龄、手术原因、手术方式、手术时间、手术中置入人工硬脑膜、或手术需要将硬脑膜切开以及是否脑室外引流等各种因素差异，寻找共同点，确定颅内感染的危险因素，明确各项因素与发生颅内感染的关系。结果：通过两组之间对比发现，性别、手术位置、手术方式、术后伤口置管，是否脑室外引流等是引起术后感染的危险因素，两组间比较，P<0.05。年龄、手术时间、是否发生全身并发症与颅内感染的关系不大，P>0.05。结论：在进行神经外科颅脑手术中，手术方式、术后伤口置管，是否脑室外引流等多种因素都将引起颅内感染，采取适当措施进行预防，是避免术后颅内感染，提高手术成功率的关键。
　　목적：토론신경외과술후로내감염적상관인소。방법：선택2009년7월～2012년8월，아원신경외과진행로뇌수술적환자공572례，선택기중발생로내감염적70례환자위관찰조，령외수궤선택무명현감염증상적70례환자작위대조조，비교량조성별、년령、수술원인、수술방식、수술시간、수술중치입인공경뇌막、혹수술수요장경뇌막절개이급시부뇌실외인류등각충인소차이，심조공동점，학정로내감염적위험인소，명학각항인소여발생로내감염적관계。결과：통과량조지간대비발현，성별、수술위치、수술방식、술후상구치관，시부뇌실외인류등시인기술후감염적위험인소，량조간비교，P<0.05。년령、수술시간、시부발생전신병발증여로내감염적관계불대，P>0.05。결론：재진행신경외과로뇌수술중，수술방식、술후상구치관，시부뇌실외인류등다충인소도장인기로내감염，채취괄당조시진행예방，시피면술후로내감염，제고수술성공솔적관건。
Objective:To investigate the related factors of intracranial infection after operation in the neurosurgery. Methods:To select 572 patients with brain surgery admitted to our hospital from July 2009 to August 2012, 70 cases of patients with intracranial infection as the observation group, 70 patients without obvious symptoms of infection as the control group. The difference between the two groups of gender, age, operation approach, operation time, operation reasons, and other factors were compared to determine the risk factors and the relationship of the factors for intracranial infection. Results:To compare gender, operation site, operation approach, postoperative wound catheter, whether caused by ventricular drainage, etc. between two groups, P<0.05. Age, operation time, whether have complications have little relationship with intracranial infection, P>0.05. Conclusion: During brain operation neurosurgery variety of factors will cause intracranial infection, to take appropriate measures for prevention is the key of avoid postoperative intracranial infection and improve the success rate of operation.