CAJ | 학술논문

目的：通过对相关案例的数据分析总结，探讨神经外科手术后感染的风险因素，并为神经外科手术后避免感染提出相关循证依据。方法通过对本院在2010年1月到2014年1月期间，共计840例神经外科手术患者进行统计分析，其中感染人数为129例，约为15.35%；感染部位主要是下呼吸道、伤口、上呼吸道、泌尿道和胃肠道；感染影响因素主要有手术时间、手术方式、原发疾病、患者年龄、气管插管/切开、脑室外引流。结果在129例神经外科手术患者中感染部位以呼吸道感染居多，产生感染的因素以气管插管/切开和脑室外引流影响最大。结论神经外科手术患者很容易发生术后感染，需要有针对性的提出相关预防控制措施，才能有效控制医院感染。
목적：통과대상관안례적수거분석총결，탐토신경외과수술후감염적풍험인소，병위신경외과수술후피면감염제출상관순증의거。방법통과대본원재2010년1월도2014년1월기간，공계840례신경외과수술환자진행통계분석，기중감염인수위129례，약위15.35%；감염부위주요시하호흡도、상구、상호흡도、비뇨도화위장도；감염영향인소주요유수술시간、수술방식、원발질병、환자년령、기관삽관/절개、뇌실외인류。결과재129례신경외과수술환자중감염부위이호흡도감염거다，산생감염적인소이기관삽관/절개화뇌실외인류영향최대。결론신경외과수술환자흔용역발생술후감염，수요유침대성적제출상관예방공제조시，재능유효공제의원감염。
ObjectiveTo investigate the risk factors for infection in the neurosurgical procedures proposed by relevant evidence-based analysis. Methods January 2010 to January 2014, 840 cases with neurosurgery operation in our hospital were analyzed, and the cases with infection after operation were 129 (15.35%). The innfection sites were mainly located in lower respiratory tract, wounds, upper respiratory tract, urinary tract and gastrointestinal tract. The infections factors were mainly included operation time, age, endotracheal intubation/incision, ventricular drainage. Results In these 129 cases, the innfection site was mainly located in respiratory tract. Endotracheal intubation/incision, ventricular drainage were greatly devotedtotheinfectionfactors.ConclusionNeurosurgical patients were prone to postoperative infection, relevant targeted prevention and control mea-sures can effectively control hospital infections.