对颅脑外伤病人医院感染的调查研究.PDFVIP

( ) 3·92 · 护理研究 2003 年 4 月第 17 卷第 4 期上半月版 总第 93 期 　CHINESE NURSIN G RESEARCH 　April ,2003 Vo1. 17 No. 4A 对颅脑外伤病人医院感染的调查研究 刘 　冰 　贾淑梅 　谢 　莉 　覃仕英 　顾克菊 摘要 : 目的:探讨预防颅脑 A Surve y of Iatro genic Infection in Patients With Craniocerebral 外伤病人医院感染的措 施。方法 :采用前瞻性调 Trauma 查方法 ,对 169 例颅脑外 Liu Bing , Jia Shumei , Xie Li , et al (Xijin g Hospital of the Fourth Military Medical Uni 伤病人进行观察 , 并记录 versit y of PLA , Shaanxi 710032 China) 病人的一般资料、病情及 治疗情况。结果 : 医院感 Abstract : Objective : to explore some measures to prevent the iatrogenic infection in pa 染发生率 17. 2 % ,高于神 tients with craniocerebral trauma. Method : a total of 169 cases with craniocerebral trau 经外科医院感染的平均水 平 ;感染组病死率高于无 ma patients were observed and investigated prospectively and their general condition , ( ) state of illness and treatments were recorded. Results : the morbidity of the iatrogenic in 感染组 P 0. 01 ; 医院 感染的发生与颅脑损伤的 fection in patients with craniocerebral trauma was 17. 2 %. It was higher than the average 严重程度、住 ICU 、侵入性 level of the iatrogenic infection in neurosurgery ward. The fatality rate in group of with i 操作的实施及抗生素的不 atrogenic infection was higher than that of non - iatrogenic infection group ( P 0. 01) . 合理应用有关。结论 : 颅 The occurrence of the iatrogenic infection related to the intensity of craniocerebral trau 脑外伤病人是神经外科医 ma , hospitalized duration in the ICU , implement of invasive manipulation and the unrea 院感染的重点监控对象 , sonable use of antibiotics. Conclusion : patients with craniocerebral trauma should be ma 预防控制应针对危险因 素 ,加强环境及物品的消