CAJ | 학술논문

目的：探讨脑外伤患者术后发生颅内感染的相关因素，为临床防治提供依据。方法回顾性分析2012年1月－2013年1月脑外伤术后患者279例临床资料，分析可能造成颅内感染的相关因素，并提出相应护理对策，采用SPSS 17．0软件进行统计分析。结果279例脑外伤患者术后共发生感染61例，感染率为21．9％；手术次数≥2次、手术时间≥4 h、术后血清白蛋白＜25 g／L和发生切口脑脊液漏是脑外伤患者术后颅内感染的独立危险因素（P＜0．05）。结论脑外伤患者术后颅内感染与多个因素相关，临床上应针对高危因素，积极采取措施，预防颅内感染发生，提高脑外伤患者手术治疗效果，保障患者的生命安全。
목적：탐토뇌외상환자술후발생로내감염적상관인소，위림상방치제공의거。방법회고성분석2012년1월－2013년1월뇌외상술후환자279례림상자료，분석가능조성로내감염적상관인소，병제출상응호리대책，채용SPSS 17．0연건진행통계분석。결과279례뇌외상환자술후공발생감염61례，감염솔위21．9％；수술차수≥2차、수술시간≥4 h、술후혈청백단백＜25 g／L화발생절구뇌척액루시뇌외상환자술후로내감염적독립위험인소（P＜0．05）。결론뇌외상환자술후로내감염여다개인소상관，림상상응침대고위인소，적겁채취조시，예방로내감염발생，제고뇌외상환자수술치료효과，보장환자적생명안전。
OBJECTIVE To explore the correlative factors of intracranial infections in cerebral trauma after opera‐tion ,so as to provide references for clinical prevention and treatment .METHODS The clinical data of 279 cases of patients with cerebral trauma after operation from Jan .2012 to Jan .2013 were analyzed retrospectively .The pos‐sible related factors of intracranial infections were discussed and relevant nursing strategy was proposed .All data were statistically analyzed by SPSS 17 .0 software .RESULTS Totally 61 cases appeared intracranial infections in all 279 patients with cerebral trauma and the infection rate was 21 .9% .The independent risk factors included op‐eration more than twice ,length of operation more than 4 hours ,albumin content <25 g/L and cerebrospinal fluid leakage (P<0 .05) .CONCLUSION Many factors are related with intracranial infections in cerebral trauma after operation .So it′s necessary to take active measures aiming at risk factors to prevent infections ,accordingly im‐prove operation effect and ensure the patients′life safety .