颅脑损伤气管切开术后感染率高的因素分析  

Factor Analysis of High Infection Rate after Brain Injury Tracheotomy

作　　者：谢嘉涛 许金发[1] 

机构地区：[1]普宁市普宁华侨医院神经内科,广东普宁515300

出　　处：《现代诊断与治疗》2013年第9期1924-1925,共2页Modern Diagnosis and Treatment

摘　　要：目的对引起颅脑损伤气管切开术后感染率高的因素进行分析研究,探讨其预防措施,提高护理的有效性。方法采用回顾性分析与前瞻性分析结合的方法对我院2010年9月～2011年9月治疗的78例颅脑损伤气管切开患者感染因素进行研究。结果 78例患者出现感染42例,其中呼吸道感染20例,手术伤口感染6例,颅内感染4例,泌尿道感染4例,消化道感染3例,皮肤感染3例,其他感染2例。病原学检查结果,共分离出57种病原菌,其中以革兰阴性杆菌为主46株,格兰阳性球菌11株。结论多种因素共同作用导致了颅脑损伤气管切开术后感染率高,通过加强预防提高患者免疫力,医疗合理用药,无菌手术操作等措施提高护理的有效性,降低感染的发生率。Objective To study and analyze traumatic brain injury after tracheotomy infection factor,explore the prevention measure and improve the effectiveness of care.Methods Infectious factors in 78 cases of craniocerebral injury patients with incision of trachea in our hospital from September 2010 to September 2011 treatment were retrospectively and praspectively analyzed.Results 78 cases of patients with this infection was achieved in 42 cases,including 20 cases with respiratory tract infection,operation wound infection in 6 cases,4 cases of intracranial infection,urinary tract infection in 4 cases,3 cases of digestive tract infection,skin infection in 3 cases,2 patients with other infections.Etiological examination results,57 pathogenic bacteria were separated,which mainly including 46 grand negative bacillus strains,11 strains of grand positive cocci.Conclusion Many factors resulted in traumatic brain injury after tracheotomy in patients with high rates of infection.Strengthening prevention and improving immunity,medical medication,sterile operation can improve the effectiveness of care and reduce the incidence of infection.

关 键 词：颅脑损伤气管切开术 感染 病原学 因素 

分 类 号：R651.1[医药卫生—外科学]