颅脑外科手术患者手术部位感染的危险因素分析

发布时间：2018-03-25 11:25

本文选题：脑损伤　切入点：感染　出处：《重庆医学》2017年03期

【摘要】：目的探讨颅脑手术患者手术部位感染的影响因素。方法选取2013年1月至2014年12月在平昌县人民医院接受开颅术治疗后手术部位感染的患者31例作为感染组,选取同期在该院接受开颅术且未发生感染的患者31例作为无感染组,统计感染组患者疾病分布情况,对两组患者的临床资料进行单因素、多因素Logistic回归分析。结果感染组31例,其中颅内肿瘤17例(54.84%),脑卒中9例(29.03%),颅脑损伤3例(9.68%),脑积水1例(3.23%),其他1例(3.23%),均在术后2周出现感染;未感染组颅内肿瘤15例(48.39%),脑卒中10例(32.26%),颅脑损伤4例(12.90%),其他2例(6.45%)。单因素分析结果显示,开颅术患者的年龄,BMI,急诊,输血,手术时间,手术次数,切口长度,置入引流管,术中失血量,合并高血压、糖尿病,NNIS分级与手术部位感染具有一定相关性(P0.05)。Logistic回归分析结果显示,手术时间,置入引流管,合并高血压,糖尿病,NNIS分级是影响开颅术患者手术部位感染的独立危险因素(P0.05)。结论手术时间、置入引流管、合并高血压、糖尿病、NNIS分级是影响开颅术患者手术部位感染的独立危险因素。
[Abstract]:Objective to investigate the influencing factors of surgical site infection in patients undergoing craniocerebral surgery. Methods 31 patients who received craniotomy in Pingchang County people's Hospital from January 2013 to December 2014 were selected as infection group. Thirty-one patients who had undergone craniotomy and had no infection in the same period were selected as the non-infected group. The disease distribution of the patients in the infected group was counted. The clinical data of the two groups were analyzed by univariate and multivariate Logistic regression analysis. Among them, 17 cases had intracranial tumor (54.84), 9 cases had cerebral apoplexy (29.03), 3 cases had craniocerebral injury (9.68%), 1 case had hydrocephalus (3.23%), and the other 1 case (3.23) had infection 2 weeks after operation. In the uninfected group, there were 15 patients with intracranial tumor (48.39), 10 with cerebral apoplexy (32.26), 4 with craniocerebral injury (12.90), and 2 with other (6.4545). Univariate analysis showed that the age of patients undergoing craniotomy was BMI, emergency, blood transfusion, operation time, number of operations, incision length, and placement of drainage tube. The results of logistic regression analysis showed that the time of operation, the time of operation, the drainage tube and hypertension were correlated with the grade of NNIS and the infection of surgical site. NNIS grade of diabetes mellitus is an independent risk factor for the infection of surgical site in patients undergoing craniotomy. Conclusion the operative time, drainage tube placement, hypertension and diabetes mellitus NNIS grade are independent risk factors for infection of surgical site in patients undergoing craniotomy.
【作者单位】：四川省平昌县人民医院神经外科;四川省巴中市中心医院神经外科;
【分类号】：R651.1

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