摘要
目的:探讨颅脑外伤术后颅内感染的危险因素并提出相应的干预对策。方法:选取颅脑外伤手术后颅内感染患者51例,及同期未发生颅内感染的颅脑外伤手术患者65例分别作为观察组和对照组。对两组患者的临床资料进行统计,对可能与颅内感染相关的因素进行量化和赋值,通过统计学软件进行单因素和多因素分析。结果:经过单因素分析患者的性别、年龄、是否为开放性颅脑损伤、血糖水平与是否于术后发生颅内感染无明显的相关性(P>0.05);而患者术前GCS评分、手术次数、手术时间、术后白蛋白水平以及是否发生切口脑脊液漏与其术后是否发生颅内感染有明显的相关性(P<0.05)。经过多因素分析患者进行手术的次数、手术时间、术后是否发生低蛋白血症以及是否发生切口脑脊液漏均是颅脑外伤术后发生颅内感染的高危因素。其中切口脑脊液漏是诸多指标中影响最大的一个指标,其余依次为手术次数、低蛋白血症以及手术时间。而单因素分析中与颅内感染相关的指标术前GCS评分经多因素分析与颅内感染相关性并不十分明确。结论:颅脑外伤患者术后发生颅内感染的危险因素是多样的,作为医护人员,需要提高自身技术水平,给予患者更多的关心和护理,尽量降低发生颅内感染的几率。
Objective：To study the risk factors of postoperative intracranial infection in craniocerebral trauma and put forward the corresponding intervention countermeasures.Methods：The craniocerebral trauma after surgery in patients with intracranial infection 51 cases, and has not occurred during the same period of intracranial infection craniocerebral trauma surgery in 65 cases patients respectively as observation group and control group. The two sets of patients clinical data statistics, may and intracranial infection related factors are quantified and assignment, through the statistics software single factor and multiple factors analysis.Results：Tthrough single factor analysis of the patient＇s gender, age, whether for open craniocerebral injury, blood glucose level and whether in postoperative intracranial infection no significant correlation （P〉0.05）;While patients with preoperative GCS score,operation frequency, operation time, postoperative albumin levels and if an incision cerebrospinal fluid leakage and whether postoperative intracranial infection happened has obvious correlation （P〈0.05）. After factor analysis with the number of surgery, operation time, postoperative ever happened hypoalbuminemia and if an incision cerebrospinal fluid leakage are craniocerebral trauma postoperative intracranial infection risk factors.The incision cerebrospinal fluid leakage is many indicators have the biggest impact on an index, and the rest is in the operation frequency, hypoalbuminemia and operation time. And the single factor analysis and intracranial infection related index preoperative GCS score more than by factor analysis and correlation between intracranial infection is not very clear.Conclusion：Craniocerebral trauma patients postoperative intracranial infection risk factor is diverse, as medical personnel, need to improve their technical level, give patients more concern and care, try to decrease the risk of intracranial infection.
出处
《中国医药导刊》
2013年第9期1549-1550,共2页
Chinese Journal of Medicinal Guide
关键词
颅脑外伤
颅内感染
危险因素
Craniocerebral trauma Intracranial infection Risk factors Nursing countermeasures
