【摘要】 目的:分析开颅术后颅内感染的危险因素,为临床实施有效的预防措施提供参考依据。方法:选择我院2009年1月~2011年12月行开颅手术治疗的患者294例,统计发生颅内感染的患者比例,并分析患者性别、年龄、手术类型、手术时间、留置引流管、脑脊液漏及伴发基础疾病是否为感染发生的危险因素。结果:本组294例开颅手术患者发生颅内感染18例,发生率为6.1%,其发生未受到患者的性别、年龄、伴发基础疾病的影响(P>0.05),受患者的手术类型、手术时间、留置引流管、脑脊液漏的影响(P<0.05)。结论:开颅术患者的手术类型、手术时间、留置引流管、脑脊液漏均为发生颅内感染的危险因素,临床工作者应该针对危险因素采取有效的预防措施,避免颅内感染的发生,促进患者康复。更多还原

【Abstract】 Objective:To analyze the risk factors of intracranial infection after craniotomy and provide a reference for the clinical implementation of effective preventive measures.Methods:From January 2009 to December 2011 in our hospital,294 patients with craniotomy were selected,added up whether or not developing intracranial infection,and analyzed patients’ gender,age,type of surgery,operative time,indwelling drainage tube,cerebrospinal fluid leakage and the underlying diseasespecies whether the risk factors for infection.Results:In this 294 patients with craniotomy,18 cases with intracranial infection,the incidence rate was 6.1%,its occurrence was unrelated with the patient’s gender,age and the underlying diseasespecies(P>0.05),but related with the patient’s type of surgery,operative time,indwelling drainage tube,cerebrospinal fluid leakage(P<0.05).Conclusion:The patients’type of surgery,operative time,indwelling drainage tube,cerebrospinal fluid leakage are the risk factors of intracranial infection after craniotomy,clinicians should take effective preventive measures for risk factors,to avoid the occurrence of intracranial infection,and to promote the rehabilitation of patients.更多还原