脑室外引流相关脑室炎危险因素对比研究  

Comparative analysis of risk factors for ventriculostomy-related ventriculitis

作　　者：熊方令[1] 刘保华[1] 蔡旺[1] 高行德[1] 张建永[1] 袁璞[1] 张怀兵[1] 朱宗锦[1] 

机构地区：[1]宿迁市人民医院神经外科,223008

出　　处：《中华神经外科杂志》2013年第3期270-272,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨脑室外引流相关脑室炎的危险因素。方法将71例经脑室外引流治疗的患者分成脑室炎组和对照组，对其年龄、性别、原发疾病、导管放置时间及数量进行对比分析。结果71例患者放置96根引流管，其中13例出现脑室炎，发生率为18％，男8例，女5例，放置导管时间平均18．5d，导管数1．7根，病因分别为外伤3例，肿瘤3例，脑室出血5例，动脉瘤蛛网膜下腔出血急性脑积水2例。统计分析显示原发疾病和导管数量是脑室外引流相关脑室炎的危险因素。结论脑室外引流相关脑室炎的发生与原发疾病和导管放置数量相关，引流的时间越长，发生脑室炎的风险越高，与患者的年龄和性别无明显相关性。Objective The aim of this study is to analyze the risk factors of ventriculostomy-related ventriculitis.Methods Total 71 patients were placed external ventricular drainage catheters and divided into ventriculitis group and control group. Clinical variables such as age, sex, prior clinical diagnosis, duration of external ventricular drainage, total numbers of catheters per person, and outcome were analyzed contrastively in theses cases. Results Total 96 catheters were placed in 71 patients. Among these patients, 13 cases were noted presenting infection, indicating the incidence is 18%. And there were 8 males （11%） and 5 females （7%） in the 13 cases. The mean age of infected patients was 32. 9 years. Each patient had 1.69 catheters. The mean of the duration of catheter was 18. 5 days. The prior clinical diagnosis of the 13 patients was trauma （23%）, tumor （23%）, intraventrictdar hemorrhage （38%） and acute hydrocephalus after anemysmal subarachnoid hemorrhage （ 15% ） respectively. The results of statistical analysis showed the prior clinical diagnosis and the number of catheters were the risk factors of ventriculostomy-related venlriculitis. Conclusions The patient＇s underlying diagnosis and the number of catheters were associated with the risk of developing ventriculitis. Moreover, the longer the dttration of external ventricular drainage catheter, the more likely the patient seemed to develop ventriculitis. But the age and gender of the patients are not related to ventriculestomy-related ventriculitis.

关 键 词：脑室外引流 脑室炎 危险因素 

分 类 号：R651.1[医药卫生—外科学]