摘要
目的分析颅脑手术患者术后发生医院感染的相关因素,为其防治提供参考依据。方法选取233例因颅脑相关疾病行手术治疗患者,分析其临床资料,总结术后发生医院感染的相关因素。结果 233例颅脑手术患者发生术后医院感染27例,感染率为11.59%;最常见的感染部位为下呼吸道16例占59.26%,其次为手术切口感染3例占11.11%;年龄<14岁或>60岁、有脑出血、住院天数越长的患者,更易发生术后医院感染,有接受侵入性的诊断或者治疗措施的患者,发生医院感染的概率明显高于未接受相应措施的患者,差异均有统计学意义(P<0.05)。结论患者的年龄、住院天数以及侵入性的诊疗措施是发生医院感染的相关因素,提高患者的抵抗力、减少其住院天数、侵入性的诊疗措施以及规范日常医疗行为,有助于减少术后医院感染的发生率。
OBJECTIVE To analyze the related factors of nosocomial infections in craniocerebral operation, and provide reference evidence for its prevention and treatment. METHODS A total of 233 patients with craniocerebral disease treated with operation were chosen as the study objects, the clinical data were and analyzed the relative factors of postoperative nosocomical infections were summarized. RESULTS Of 233 patients under the craniocerebral operation, nosoeomial infections occurred in 27 patients with the infection rate of 11. 59~. The most common site of infections was lower respiratory tract in 16 cases accounting for 59.26~, followed by the surgical incision infections （3 cases）of 11. 11~. Patients who were under 14 years of age or age more than 60 years old, with intracerebral hemorrhage,longer hospitalization days were more prone to postoperative nosocomial infections （P^0.05）. The incidence of nosocomial infections was significantly higher in the patients undergoing invasive diagnostic or therapeutic measures, than that in those without the corresponding measures the differences were statistically significant （P~ 0. 05）. CONCLUSION Patient＇s age, hospitalization duration and invasive diagnostic or therapeutic measures are the related factors for nosocomial infections. Improving the resistance of patients, reducing the length of hospital stay and the invasive treatment procedures, and regulating the daily medical behaviormay contribute to the reduction postoperative nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第19期4697-4699,共3页
Chinese Journal of Nosocomiology
基金
沧州市科学技术局计划基金项目(1213134ZD)
关键词
颅脑手术
医院感染
因素
分析
Craniocerebral operation
Nosocomial infection
Factor
Analysis
