神经外科术后颅内感染因素及应预防策略探析.docVIP

神经外科术后颅内感染因素及应预防策略探析 　　[摘要] 目的 分析神经外科术后颅内感染诱发因素及对应的应对措施。方法 整群选取2008年12月―2015年12月7年间在该院神经外科就诊的912例开颅手术患者临床资料进行分析，将54例发生颅内感染的患者作为实验组，其余858例患者作为对照组；并统计分析两组患者术前、术中以及术后相关诱发因素。 结果 发生颅内感染患者有54例，颅内感染率为5.92%；实验组患者术前合并症34例显著高于对照组的29例，差异有统计学意义（P0.05）。结论 引发神经外科术后颅内感染的因素较多，所以对神经外科颅脑手术患者采取一定的预防措施及及时治疗，有助于降低术后颅内感染的发病风险，改善预后效果 [关键词] 神经外科；术后颅内感染；诱发因素；预防策略 [中图分类号] R551 [文献标识码] A [文章编号] 1674-0742（2017）02（b）-0004-03 [Abstract] Objective To analyze the postoperative intracranial infection factor and preventive strategies in the department of neurosurgery. Methods Group selection 912 cases of patients with craniotomy treated in the department of neurosurgery in our hospital from December 2008 to December 2015 were selected and divided into the experimental group with 54 cases and the control group with 858 cases， and the preoperative， intraoperative and postoperative related causes of the two groups were counted and analyzed. Results There were 54 cases with intracranial infection， and the intracranial infection rate was 5.92%， and the incidence rate of preoperative complications in the experimental group was obviously higher than that in the control group（34 cases vs 29 cases）， and the difference had statistical significance（P0.05）. Conclusion The cause of postoperative intracranial infection in the department of neurosurgery is more， therefore， a certain preventive measures and timely treatment for patients with intracranial infection in the department of neurosurgery contributes to reducing the incidence risks of postoperative intracranial infection and improve the prognosis effect. [Key words] Department of neurosurgery； Postoperative intracranial infection； Inducing factor； Preventive strategies 在神?科中神经外科术是一种常见的手术，对脑血管畸形、脑肿瘤、颅脑外伤等有关疾病进行手术能够显著的改善患者的临床症状，但也可能会增加颅内感染风险[1-2]。颅内感染是神经外科术后常见并发症，其累及覆盖物以及脑实质，为局限性或者弥漫性，不仅会增加患者的医疗费用还延长了患者的住院周期。颅内感染常发生在术后的5 d左右，感染发生率约为5%，颅内感染的同时常会出现颅内高压、脑水肿、脑积水等并发症，这会进一步的恶化颅内感染[3-5]。目前，关于颅内感染的诱发因素较多，但所报道的诱发因素之间存在着很大的差异，所以寻找科学的颅内感染诱发因素具有着重要的意义。该文整理