神经外科术后颅内感染危险因素分析及预防对策

杜春花，杨勇

（陕西省康复医院，陕西 西安，710065）

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摘要：

目的 对神经外科术后颅内感染的相关因素进行分析，并提出有效的预防措施。方法 对我院822 例神经外科术后患者的临床资料进行回顾性分析，将术后未出现颅内感染的患者设为对照组（n=781），术后出现颅内感染的患者设为观察组（n= 41）。分析造成神经外科术后患者颅内感染的术前、术中及术后相关危险因素。结果 822例神经外科患者术后颅内感染的发病率为4.99%（41/822）。造成神经外科术后患者颅内感染的术前因素主要包括患者合并症多、GCS评分低（P<0.05）；造成神经外科术后患者颅内感染的术中因素主要包括开颅手术及手术次数多、手术时间长及出血量多（P<0.05）；造成神经外科术后患者颅内感染的术后因素主要为引流时间长、引流量多及昏迷时间长（P<0.05）。结论导致神经外科患者术后颅内感染的因素有多种，在围术期对患者实施针对性的预防措施，尽早进行治疗，可降低术后颅内感染的发生率。

关键词：神经外科手术；颅内感染；GCS 评分

中图分类号：R651.11文献标志码：A文章编号：2096-1413(2017)30-0039-02

Risk factors and preventive strategies on intracranial infection after neurosurgical operation
DU Chun-hua, YANG Yong
(Shaanxi Kangfu Hospital, Xi``an 710065, China)

ABSTRACT: Objective To analyze the risk factors on intracranial infection after neurosurgical operation, and to put forward effective preventive measures. Methods The clinical data of 822 neurosurgical postoperative patients admitted in our hospital were retrospectively analyzed. Patients without intracranial infection were selected as the control group (n= 781), and patients with intracranial infection were selected as the observation group (n=41). The preoperative, intraoperative and postoperative risk factors in neurosurgical postoperative patients with intracranial infection were analyzed. Results In 822 neurosurgical postoperative patients, the incidence of intracranial infection was 4.99% (41/822). In the risk factors of intracranial infection of the neurosurgical postoperative patients, the preoperative risk factors included complications and low GCS score (P<0.05); the intraoperative risk factors related to neurosurgical operation and surgical times, long operation time and the amount of bleeding (P<0.05); the postoperative risk factors included drainage long, big volume drainage and long duration of coma (P<0.05). Conclusion Intracranial infection in postoperative neurosurgery patients has a variety of risk factors, targeted preventive measures and early treatment can reduce the incidence of intracranial infection.

KEYWORDS: neurosurgical operation; intracranial infection; GCS scores

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