神经外科颅脑手术患者医院感染危险因素分析  

Analysis of Risk Factors for Nosocomial Infection in Patients with Neurosurgical Brain Surgery

作　　者：周蓉[1] ZHOU Rong(Department of Infection Management,Zhijiang People's Hospital,Zhijiang 443200,Hubei,China)

机构地区：[1]湖北省枝江市人民医院医院感染管理科,湖北枝江443200

出　　处：《医学信息》2019年第7期104-106,共3页Journal of Medical Information

摘　　要：目的研究神经外科颅脑手术患者发生医院感染的相关危险因素。方法选择2015年2月～2018年2月我院收治的48例神经外科颅脑手术患者的临床资料,依据是否发生医院感染分为实验组和参照组,各24例,比较两组患者年龄、性别、原发疾病、感染前抗菌药物使用时间、手术时间、泌尿道插管、呼吸机形式、中心静脉插管、手术次数及鼻饲情况。结果实验组男性、年龄>60岁、手术时间>4 h、颅脑损伤、超过15 d的感染前抗菌药物使用时间、使用尿道插管、使用中心静脉插管、无创呼吸、手术次数超过3次、使用鼻饲与参照组比较,差异有统计学意义(P<0.05);多因素Logistic回归显示,年龄、原发疾病、感染前抗菌药物使用时间、手术时间、泌尿道插管、呼吸机形式、中心静脉插管、手术次数、鼻饲等为医院感染的危险因素。结论神经外科颅脑手术患者的危险因素主要有年龄、性别、原发疾病、感染前抗菌药物使用时间、手术时间、泌尿道插管、呼吸机形式、中心静脉插管、手术次数、鼻饲,因此需要采取合理措施来预防医院感染,提升手术效果。Objective To study the risk factors associated with nosocomial infection in patients undergoing neurosurgical craniocerebral surgery. Methods The clinical data of 48 patients with neurosurgical craniocerebral surgery admitted to our hospital from February 2015 to February 2018 were selected. According to whether hospital infection occurred, the patients were divided into experimental group and reference group, 24 cases each. The age, sex, primary disease, pre-infection antibacterial use time, operation time, urinary catheterization, ventilator form, central venous cannulation, number of operations, and nasal feeding were compared between the two groups.Results The experimental group male, age >60 years old, operation time>4 h, craniocerebral injury, over 15 d of pre-infection antibacterial use time, use of urethral intubation, use of central venous cannula, non-invasive respiration, more than 3 times of operation There was a statistically significant difference between the use of nasal feeding and the control group (P<0.05). Multivariate logistic regression showed age, primary disease, time of antibacterial use before infection, operation time, urinary catheterization, ventilator form, central venous cannulation, number of operations, nasal feeding, etc. are risk factors for nosocomial infection. Conclusion The risk factors of patients undergoing neurosurgical craniocerebral surgery include age, gender, primary disease, pre-infection antibacterial use time, operation time, urinary catheterization, ventilator form, central venous cannulation, number of operations, nasal feeding. Reasonable measures need to be taken to prevent nosocomial infections and improve the surgical results.

关 键 词：神经外科 颅脑手术 医院感染 危险因素 

分 类 号：R651.15[医药卫生—外科学]