神经外科颅脑手术患者医院感染危险因素分析  

Risk Factors Analysis of Nosocomial Infection of Craniocerebral Surgery Patients of Neurosurgery Department

作　　者：吴明忠 WU Ming-zhong(Department of Neurosurgery,Guanxian County Central Hospital,Shandong,Liaocheng Shandong 25250)

机构地区：[1]山东冠县中心医院神经外科,山东聊城252500

出　　处：《世界最新医学信息文摘》2018年第20期5-6,9,共3页World Latest Medicine Information Electronic Version

摘　　要：目的对神经外科颅脑手术患者发生医院感染的危险因素进行分析。方法于我院2015年8月至2017年8月收治的神经外科颅脑手术患者中随机抽取75例发生医院感染的患者,将其设为实验组研究对象,抽取75例未发生医院感染的患者,将其设为对照组研究对象,对两组患者的临床资料进行回顾性分析,并以此为根据对神经外科颅脑手术患者发生医院感染的危险因素进行分析。结果性别、年龄、原发疾病、手术时间、感染前入住ICU时间、感染前抗菌药物使用时间、中心静脉插管、泌尿道插管、呼吸机形式、鼻饲、院外感染及手术次数均为神经外科颅脑手术患者发生医院感染的危险因素,男性、年龄在60岁以上、发生颅脑损伤、手术时间为4小时及以上、感染前入住ICU 15天及以上、使用抗菌药物15天及以上、采用中心静脉插管、采用泌尿道插管、采用无创呼吸、进行鼻饲、发生院外感染、进行3次及以上手术的患者为医院感染高危患者,并且对比显示P<0.05。结论在对患者进行治疗的过程中,应该尽可能的采取具有针对性的措施,尽量缩短手术时间、避免滥用抗菌药物、减少侵入性操作的次数,以降低患者发生医院感染的几率,促使患者尽快恢复健康。Objective To analyze risk factors of nosocomial infection of craniocerebral surgery patients in neurosurgery department. Methods Choose 75 cases nosocomial infection patients in neurosurgery department of our hospital from August 2015 to August 2017 randomly as research subjects of experimental group, and 75 cases noninfected patients as research subjects of control group. Review and analyze clinical data of two groups, and analyze risk factors of nosocomial infection of craniocerebral surgery patients in neurosurgery department on the basis. Results Risk factors of nosocomial infection in neurosurgery department include： gender, age, primary disease, operation time, time staying in ICU before infection, time of antibiotics use before infection, central venous catheterization, urinary catheter, ventilator type, nasal feeding, outside hospital infection and operation numbers. High-risk surgical patients of nosocomial infection had features of male, 60 above, craniocerebral injury, opeartion time of 4 hours and above, staying in ICU for 15 days and abover before infection, antibiotics use 15 days and above, central venous catheterization, urethral catheterization, noninvasive breathing, nasal feeding, outside hospital infection, opearation more than 3 times and above, comparison showed P 0.05. Conclusion During treatment process of patients, targeted measures should be taken as possible as it could to shorten operation time, avoid abuse of antibiotics, reduce numbers of invasive operation, to lower incidence of nosocomial infection, and promote soon recovery of patients.

关 键 词：神经外科 颅脑手术 医院感染 危险因素 

分 类 号：R63[医药卫生—外科学]