摘要
目的旨在了解神经外科急诊开颅手术患者手术部位感染及危险因素。方法选取2018年2月—2021年2月在医院手术室行急诊开颅手术的368名患者为研究对象,对其手术部位感染的发生情况及危险因素进行统计学分析。结果368名神经外科急诊开颅手术患者中,共有52名患者发生了手术部位感染,感染的发生率为14.13%。单因素及多因素Logistic回归分析结果提示:年龄≥60岁、手术时间≥4小时、合并糖尿病、术后留置引流管≥3天,以及术后再次手术是神经外科急诊开颅手术患者发生手术部位感染的危险因素(OR>1,p<0.05);而消毒前肥皂水清洗头皮则是避免神经外科急诊开颅手术患者发生手术部位感染的保护性因素(OR<1,p<0.05)。结论神经外科急诊开颅手术患者的手术部位感染率较高,其与患者的年龄、手术时间、是否罹患糖尿病、术后留置引流管的时间、术后是否再次手术及消毒前肥皂水是否清洗头皮等有一定关系。
Objective To understand the surgical site infection and risk factors in neurosurgery emergency craniotomy patients.Methods A total of 368 patients who underwent emergency craniotomy in the hospital operating room from February 2018 to February 2021 were selected as the research objects,and the incidence and risk factors of surgical site infection were statistically analyzed.Results Among 368 neurosurgery emergency craniotomy patients,a total of 52 patients developed surgical site infection,and the infection rate was 14.13%.Univariate and multivariate logistic regression analysis showed that age over 60 years,operation time over 4 hours,diabetes mellitus,over 3 days of postoperative indwelling drainage tube,and postoperative reoperation were the risk factors of surgical site infection for neurosurgery emergency craniotomy patients(OR>1,p<0.05);and washing the scalp with soap and water before disinfection was a protective factor to avoid surgical site infection in patients undergoing emergency craniotomy in neurosurgery(OR<1,p<0.05).Conclusion The surgical site infection rate of patients undergoing emergency craniotomy in neurosurgery is relatively high,which is related to the patient's age,operation time,diabetes,postoperative indwelling drainage tube time,postoperative reoperation,and whether the scalp is washed with soap before disinfection.
作者
林芬芬
杨能
朱玲珠
LIN Fen-fen;YANG Neng;ZHU Ling-zhu(Taizhou Hospital of Zhejiang Province)
出处
《医院管理论坛》
2022年第2期58-60,54,共4页
Hospital Management Forum
关键词
神经外科
急诊
开颅手术
手术部位感染
Neurosurgery
Emergency
Craniotomy
Surgical site infection
