开颅手术清洁切口感染的诸因素分析  

An analysis of risk factors for wound infection after clean wound craniotomy

作　　者：王星星[1] 贾佐庭[1] 王翚[1] 张延霞[1] 尹保强 

机构地区：[1]解放军第304医院

出　　处：《中华医院感染学杂志》1995年第3期148-150,共3页Chinese Journal of Nosocomiology

摘　　要：本文回顾性地调查了我科近５年３３１例清洁切口开颅手术，其中３１例发生切口感染。总感染率为９．４％。在本文分析统计的１１项危险因素中，术后脑室外引流、手术持续时间超过５小时以及患者年龄大于６０岁，这三项因素均可明显增加术后感染的发生率。再次手术、术前过早备皮和术前待床日超过７天是导致伤口感染率增高的可能因素。术中暴露副鼻窦等其余５项因素与伤口感染的发生在统计学上无显著差异。Three hundred and thirty-one patients who had undergone clean wound craniotomy were stu-died retrospectively. Wound infection was recorded in thirty-one cases.The overall infection rate was 9.4%, Eleven potential Risk factors were analysed to evaluated the association with the postoperative wound infection,risk factors which lead to a significant increase in incidence of postoperative infection were found to be postoperative ventricular drainage,duration of surgery more than 5 hours,and patient's age more than 60 years old.Three other risk factors(reoperation,earlier shaving before operation,andpreoperative hospital stay more than one week)appeared to be associated with increased opportunity ofinfection, although statistical significance was not demonstrated.None of the remaining five risk factorsshowed any suggestion of increase risk of infection。

关 键 词：开颅术 切口感染 危险因素 

分 类 号：R619.3[医药卫生—外科学]