颅脑外伤术后80例颅内感染的因素分析  

Factors analysis of intracranial infection in 80 patients with craniocerebral trauma operation

作　　者：刘胜华[1,2] 姚庆宁[1,2] 唐协林[1,2] 黎乾科[1,2] 赵超[1,2] 钟俊[1,2] 肖奎[1,2] 

机构地区：[1]四川省三台县人民医院 [2]川北医学院附属三台医院神经外科,四川三台621100

出　　处：《中国医药科学》2015年第2期161-162,210,共3页China Medicine And Pharmacy

摘　　要：目的分析颅脑外伤术后颅内感染的因素。方法我院2012年11月-2013年11月诊治的颅脑外伤术后颅内感染患者80例作为研究对象,采用回顾性的方式分析患者的临床资料,分析感染相关因素。结果研究结果显示,感染单因素主要包括患者的年龄、术前GCS评分、手术时间、脑室外引流、术后切口脑脊液漏、开放性伤口,通过logistic多因素回归分析发现,术后颅内感染的高危因素主要为脑室外引流、脑脊液漏、手术时间。结论颅脑外伤术后颅内感染因素众多,而脑脊液漏、手术时间、脑室外引流为其独立危险因素,需引起临床人员的重视,在开展颅脑外伤术过程中及早采取有效的预防措施,降低感染发生率,提高手术治疗效果。Objective To analyze the factors of intracranial infection after craniocerebral trauma operation. Methods Retrospectively analyzed the clinical data and the factors of intracranial infection of patients with craniocerebral trauma operation who were selected in our hospital from November 2012 to November 2013. Results It was show that, the single factors of infection were the patient＇s age, the preoperative GCS score, the operation time, the external ventricular drainage, the postoperative cerebrospinal fluid leakage and open wound, the high risk factors which were analyzed by multiple regression, were the external ventricular drainage, the cerebrospinal fluid leakage and the operation time. Conclusion It is important that, to pay attention to the factors of intracranial infection which were the cerebrospinal fluid leakage, the operation time and the cerebrospinal fluid leakage, to take effective preventive measures to reduce the incidence of infection and to improve the effect of operation treatment in the process of craniocerebral trauma operation.

关 键 词：颅脑外伤 颅内感染 因素 

分 类 号：R651.1[医药卫生—外科学]