择期脑肿瘤切除术患者手术部位感染危险因素

发布时间：2018-03-24 15:14

本文选题：脑肿瘤　切入点：脑肿瘤切除术　出处：《中国感染控制杂志》2017年07期

【摘要】：目的探讨择期脑肿瘤切除患者手术部位感染的危险因素,为临床防治提供依据。方法前瞻性监测2013年4—9月及2014年4—9月某院神经外科进行择期脑肿瘤切除术的患者,制定监测方案及个案调查表,收集其基本资料、手术情况、术后感染症状/体征及实验室检查结果、感染有关因素、抗菌药物使用情况等,并分析其感染危险因素。结果共调查205例患者,其中23例发生手术部位感染,发病率为11.22%;单因素分析结果显示,身体质量指数(BMI)、NNIS评分、脑脊液漏与手术部位感染的发生有关(均P0.05);logistic回归分析显示,NNIS评分高、脑脊液漏是择期脑肿瘤切除术患者手术部位感染发生的独立危险因素(均P0.05)。结论择期脑肿瘤切除术患者手术部位感染发病率较高,在临床工作中,应针对包括脑脊液漏在内的不同危险因素采取相应的预防措施。
[Abstract]:Objective to investigate the risk factors of surgical site infection in patients with selective brain tumor resection and to provide evidence for clinical prevention and treatment. Methods prospective monitoring of patients undergoing elective brain tumor resection in a neurosurgical department in a hospital from April to September 2013 and from April to September 2014 was carried out. To make the monitoring plan and case investigation form, collect the basic information, the operation condition, the infection symptom / sign after operation, the laboratory examination result, the infection related factor, the use of the antimicrobial drug, etc. Results A total of 205 patients were investigated, 23 of them had infection at surgical site, the incidence rate was 11.22. The results of univariate analysis showed that the body mass index (BMI) was BMIA and NNIS score. Cerebrospinal fluid leakage was associated with infection at surgical site (P 0.05). Logistic regression analysis showed that NNIS score was high. Cerebrospinal fluid leakage is an independent risk factor for surgical site infection in patients with selective brain tumor resection (P0.050.Conclusion the incidence of surgical site infection in patients with elective resection of brain tumor is higher, and it is a risk factor in clinical work. Preventive measures should be taken against different risk factors, including cerebrospinal fluid leakage.
【作者单位】：广西壮族自治区人民医院;
【分类号】：R739.41

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