医院神经外科颅内手术患者医院感染影响因素及护理对策  

Influencing factors of nosocomial infection in patients with neurosurgery and cataract decompression in a hospital and nursing countermeasures

作　　者：雷娜[1] 李晓华[1] 王娟[1] LEI Na;LI Xiao-hua;WANG Juan(Baoji People＇s Hospital,Baoji Shaanxi 721000,China)

机构地区：[1]陕西省宝鸡市人民医院,陕西宝鸡721000

出　　处：《中国消毒学杂志》2018年第9期669-671,共3页Chinese Journal of Disinfection

摘　　要：目的了解医院神经外科住院颅内手术患者医院感染情况及其影响因素。方法通过目标性监测方法,对某医院神经外科住院接受颅内手术的患者医院感染影响因素进行专项调查与分析。结果本研究共纳入颅内血肿清除加去骨瓣减压术患者165例,发生术后感染18例,医院感染发生率为10.90%,主要是呼吸道感染和泌尿道感染。年龄>55岁、插管和手术等侵入性操作和住院15 d以上构成颅内手术患者医院感染的独立危险因素。结论神经外科住院接受颅内手手术患者的医院感染率较高,危险因素明确,采取有效护理措施可降低医院感染率。Objective To investigate the prevalence and influencing factors of nosocomial infections in hospitalized neurosurgical patients who underwent intracranial hematoma resection plus bone flap decompression in a tertiary hospital.Methods By targeted monitoring method,a special investigation and analysis on influencing factors of nosocomial infections was carried out in hospitalized neurosurgical patients who underwent intracranial hematoma resection plus bone flap decompression in a hospital. Results In this study,165 patients were enrolled,and 18 cases of postoperative infection were found. The incidence of nosocomial infection was 10. 90% with mainly respiratory infections and urinary tract infections.Patients with age 55 years old,invasive procedures such as intubation and surgery,length of stay 15 days were risk factors for nosocomial infection. Conclusions The nosocomial infections rate of neurosurgery hospitalized patients who received intracranial hematoma resection plus bone flap decompression in a tertiary hospital is high. Risk factors are clear,so taking effective nursing measures can reduce the rate of nosocomial infection.

关 键 词：神经外科 颅内手术 医院感染 影响因素 护理 

分 类 号：R181.32[医药卫生—流行病学]