脑胶质瘤患者术后医院感染的影响因素分析  

Analysis of the influencing factors of postoperative nosocomial infection in patients with brain glioma

作　　者：张娜[1] 刘俊[2] 张文强[3] ZHANG Na;LIU Jun;ZHANG Wenqiang(Department of Infection Management,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;Surgical Teaching and Research Section,School of Nursing and Health,Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院感染管理科,郑州450052 [2]郑州大学第一附属医院神经外科,郑州450052 [3]郑州大学护理与健康学院外科教研室,郑州4500520

出　　处：《癌症进展》2024年第6期667-669,692,共4页Oncology Progress

摘　　要：目的 探讨脑胶质瘤患者术后医院感染的影响因素。方法 选取688例脑胶质瘤手术患者,比较术后发生医院感染和未发生医院感染患者的临床特征,采用二元Logistic回归模型分析脑胶质瘤患者术后医院感染的影响因素。结果 单因素分析结果显示,年龄、手术时间、组织学分级、合并糖尿病情况、脑室引流情况、脑室引流时间均可能是脑胶质瘤患者术后医院感染的影响因素(P﹤0.05)。多因素Logistic回归分析结果显示,年龄≥60岁、手术时间≥4 h、合并糖尿病、脑室引流、脑室引流时间≥2天均是脑胶质瘤患者术后医院感染的独立危险因素(P﹤0.01)。结论 年龄≥60岁、手术时间≥4 h、合并糖尿病、脑室引流、脑室引流时间≥2天均是脑胶质瘤患者术后医院感染的独立危险因素,医护人员应密切关注高风险感染人群,及时实施预防性的护理干预措施,从而为患者尽早治疗创造条件。Objective To investigate the influencing factors of postoperative nosocomial infection in patients with brain glioma.Method A total of 688 patients with brain glioma surgery were selected,the clinical characteristics of pa-tients with and without postoperative nosocomial infection were compared.Binary Logistic regression model was used to analyze the influencing factors of postoperative nosocomial infection in patients with brain glioma.Result Univariate analysis showed that age,operation time,histological grade,diabetes mellitus,ventricular drainage and ventricular drain-age time may be the influencing factors of postoperative nosocomial infection in brain glioma patients(P<0.05).Multivar-iate Logistic regression analysis showed that age≥60 years old,operation time≥4 h,combined diabetes mellitus,ventricu-lar drainage and ventricular drainage time≥2 days were independent risk factors for postoperative nosocomial infection in brain glioma patients(P<0.01).Conclusion Age≥60 years old,operation time≥4 h,combined diabetes mellitus,ventric-ular drainage and ventricular drainage time≥2 days were independent risk factors for postoperative nosocomial infection in brain glioma patients.Medical staff should pay close attention to people at high risk of infection and implement preven-tive nursing interventions in time,so as to create conditions for early treatment of patients.

关 键 词：脑胶质瘤 术后医院感染 临床特征 影响因素 

分 类 号：R739.41[医药卫生—肿瘤]