对某医院颅脑手术患者颅内感染因素的分析  

An Analysis of Intracranial Infection Factors in Patients Undergoing Craniocerebral Surgery in a Hospital

作　　者：胡兰文[1] 张浩军[1] 令娟 蔡玲[1] 张映华[1] 杨亚红 张肖红[1] 樊玉清 HU Lanwen;ZHANG Haojun;LING Juan;CAI Ling;ZHANG Yinghua;YANG Yahong;ZHANG Xiaohong;FAN Yuqing(Gansu Provincial Hospital,Lanzhou 730000,China)

机构地区：[1]甘肃省人民医院,甘肃兰州730000

出　　处：《西部中医药》2023年第6期76-78,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:了解神经外科手术患者术后颅内感染的发生情况及其影响因素,分析颅内感染的独立危险因素,为预防术后颅内感染提供理论依据。方法:对甘肃省某三甲医院2019年1月至12月神经外科颅脑手术患者进行回顾性调查,分析术后颅内感染的发生情况及其影响因素。结果:635例患者中,30例发生颅内感染,感染率为4.7%。其中不同年龄段患者感染风险不同,年龄越大感染风险越高,手术用时超过240 min、留置脑室内引流都会增加颅内感染风险,且差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,高龄、手术时间延长、脑室内手术、留置引流是术后颅内感染的独立危险因素(P<0.05)。结论:年龄、手术用时、手术方式、留置引流管是颅内感染的独立相关因素,加强神经外科颅脑手术患者医院感染监测,针对高危因素采取综合预防措施,可有效降低颅脑手术患者颅内感染的发生率。Objective:To provide theoretical basis for the prevention of intracranial infection after the operation by investigating the conditions of intracranial infection and the influencing factors in neurosurgery patients after the operation,and analyzing the independent risk factors of intracranial infection.Methods:A retrospective investigation was conducted on patients in a class A tertiary hospital of Gansu between January and December of 2019,to analyze the incidence of postoperative intracranial infection and the influencing factors.Results:Among 635 patients,there were 30 cases suffering intracranial infection,and the infection rate was 4.7%.Among them,the risk of infection varies in different age groups,the older the patients are,the higher the risk of infection was,operation time exceeding than 240 minutes and indwelling ventricular drainage increase the risks of intracranial infection,and the difference had statistical meaning(P<0.05).Multivariate Logistic regression analysis revealed that advanced age,prolonged operation time,ventricular surgery and indwelling ventricular drainage were the independent risk factor of intracranial infection after the surgery(P<0.05).Conclusion:Age,operation time,surgical methods and indwelling drainage tube are the independent relevant factors of intracranial infection,enhancing hospital infection monitoring of neurosurgery patients and adopting comprehensive preventive measures for high-risk factors could effectively reduce the incidence of intracranial infection in patients undergoing craniocerebral operations.

关 键 词：颅脑手术 神经外科 颅内感染 危险因素 

分 类 号：R63[医药卫生—外科学]