CAJ | 학술논문

目的:分析开颅术后颅内感染的危险因素,为临床实施有效的预防措施提供参考依据.方法:选择我院2009年1月~2011年12月行开颅手术治疗的患者294例,统计发生颅内感染的患者比例,并分析患者性别、年龄、手术类型、手术时间、留置引流管、脑脊液漏及伴发基础疾病是否为感染发生的危险因素.结果:本组294例开颅手术患者发生颅内感染18例,发生率为6.1%,其发生未受到患者的性别、年龄、伴发基础疾病的影响(P>0.05),受患者的手术类型、手术时间、留置引流管、脑脊液漏的影响(P<0.05).结论:开颅术患者的手术类型、手术时间、留置引流管、脑脊液漏均为发生颅内感染的危险因素,临床工作者应该针对危险因素采取有效的预防措施,避免颅内感染的发生,促进患者康复.
목적:분석개로술후로내감염적위험인소,위림상실시유효적예방조시제공삼고의거.방법:선택아원2009년1월~2011년12월행개로수술치료적환자294례,통계발생로내감염적환자비례,병분석환자성별、년령、수술류형、수술시간、류치인류관、뇌척액루급반발기출질병시부위감염발생적위험인소.결과:본조294례개로수술환자발생로내감염18례,발생솔위6.1%,기발생미수도환자적성별、년령、반발기출질병적영향(P>0.05),수환자적수술류형、수술시간、류치인류관、뇌척액루적영향(P<0.05).결론:개로술환자적수술류형、수술시간、류치인류관、뇌척액루균위발생로내감염적위험인소,림상공작자응해침대위험인소채취유효적예방조시,피면로내감염적발생,촉진환자강복.
Objective:To analyze the risk factors of intracranial infection after craniotomy and provide a reference for the clinical implementation of effective preventive measures.Methods:From January 2009 to December 2011 in our hospital,294 patients with craniotomy were selected,added up whether or not developing intracranial infection,and analyzed patients' gender,age,type of surgery,operative time,indwelling drainage tube,cerebrospinal fluid leakage and the underlying diseasespecies whether the risk factors for infection.Results:In this 294 patients with craniotomy,18 cases with intracranial infection,the incidence rate was 6.1%,its occurrence was unrelated with the patient's gender,age and the underlying diseasespecies (P>0.05),but related with the patient's type of surgery,operative time,indwelling drainage tube,cerebrospinal fluid leakage (P<0.05).Conclusion:The patients'type of surgery, operative time,indwelling drainage tube,cerebrospinal fluid leakage are the risk factors of intracranial infection after craniotomy,clinicians should take effective preventive measures for risk factors,to avoid the occurrence of intracranial infection,and to promote the rehabilitation of patients.