脑膜瘤术后医院感染相关危险因素的临床研究  

Nosocomial Infection Related Risk Factors for Postoperative Meningoma Patients:A Clinical Research

作　　者：冯丽[1] 曾邦伟[2] 吴安华[1] 李春辉[1] 吴英[1] 

机构地区：[1]中南大学湘雅医院感染控制中心,湖南长沙410008 [2]福建医科大学附属协和医院医院感染管理科,福建福州350000

出　　处：《中华医院感染学杂志》2010年第15期2227-2229,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨脑膜瘤术后医院感染的发病情况及其相关危险因素。方法采用前瞻性和回顾性调查相结合的方法,对2007年1月1日-12月31日神经外科283例脑膜瘤患者术后进行医院感染调查分析。结果 43例发生医院感染,感染率为15.19%,感染例次为52例,例次感染率为18.37%;感染部位以下呼吸道、手术部位为主,分别占42.31%、21.15%;医院感染的相关危险因素进行单因素分析,感染组与非感染组的头部留置外引流管时间、手术时间与术后住ICU时间差异均有统计学意义;在Logistic逐步回归分析中,这3个因素均入选模型;气管插管时间与肺部感染存在相关性,差异也有统计学意义。结论脑膜瘤术后医院感染以下呼吸道和手术部位为主,需针对上述危险因素加强监控,减少医院感染的发生。OBJECTIVE To explore the nosocomial infection incidence and related risk factors of postoperative meningoma patients.METHODS A prospective and retrospective study was performed to investigate nosocomial infection in 283 postoperative meningoma patients who were admitted into the department of neurosurgery from Jan 1st,2007 to Dec 31st,2007.RESULTS There were 43 cases with nosocomial infection with the infection rate 15.19%.The infection case-times were 52 with 18.37%.The infection sites were mainly in lower respiratory tract（42.31%） and operation site（21.15%）.The risk factors related nosocomial infection were analyzed by χ2 test.The difference between infection group and non-infection group in indwelling time of cephalic drainage tube,operation time and ICU stay time after operation had statistical significance.Three factors were all included into the Logistic stepwise regression analysis model.Pulmonary infections were significantly associated with the intubation time.CONCLUSIONS The nosocomial infection sites of postoperative meningoma patients are mainly in lower respiratory tract and operative site.For the risk factors related nosocomial infection,we should strengthen the surveillance and control of nosocomial infection.

关 键 词：脑膜瘤 医院感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]