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 and nursing strategies of nosocomial infection in neurosurgery patients undergoing intracranial surgery

作　　者：阮庆莲 Ruan Qinglian(Department of General Surgery,the People's Hospital of Lingshan County,Guangxi 535400)

机构地区：[1]广西灵山县人民医院普通外科

出　　处：《中国社区医师》2020年第1期134-135,共2页Chinese Community Doctors

摘　　要：目的:分析神经外科颅内手术患者医院感染影响因素及护理对策。方法:选取行开颅手术神经外科疾病患者156例,探究引发术后医院感染的危险因素,针对性给予相应护理措施。结果:术后发生医院感染23例,感染率为14.74%;单因素分析发现急诊手术、手术时间≥4 h、输血、气管插管、术中应用人工硬膜及明胶海绵、留置引流管、应用激素、抗生素、术后颅内出血等是发生医院感染的危险因素,差异有统计学意义(P<0.05);多因素Logistic回归分析手术时间≥4 h、使用人工硬膜、气管插管、输血、术后颅内出血、应用抗菌药物是独立危险因素,差异有统计学意义(P<0.05)。结论:神经外科颅内手术患者医院感染危险因素较多,采取相应护理措施,加强手术切口管理、预防性应用抗菌药物等,可降低术后颅内感染率。Objective:To analyze the influencing factors and nursing strategies of nosocomial infection in neurosurgery patients with intracranial surgery.Methods:A total of 156 patients with neurosurgical diseases underwent craniotomy were selected to explore the risk factors of postoperative hospital infection,and the corresponding nursing measures were given.Results:23 cases of nosocomial infection occurred after operation,the infection rate was 14.74%.Univariate analysis found that emergency surgery,operation time≥4 h,blood transfusion,tracheal intubation,intraoperative application of artificial dura mater,gelatin sponge,indwelling drainage tube,application of hormones,antibiotics,postoperative intracranial hemorrhage,etc.are risk factors for nosocomial infection,the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that operation time≥4 h,use of artificial dura,tracheal intubation,blood transfusion,intracranial hemorrhage after operation and use of antibiotics were independent risk factors,the differences were statistically significant(P<0.05).Conclusion:There are many risk factors for nosocomial infection in patients undergoing neurosurgical intracranial surgery.Taking corresponding nursing measures,strengthening surgical incision management and preventive application of antibiotics can reduce the intracranial infection rate.

关 键 词：神经外科 颅内手术 医院感染 影响因素 护理 

分 类 号：R473.6[医药卫生—护理学]