基础医学论文6篇：颅脑外伤术后颅内感染的相关因素和有效治疗 .docVIP

基础医学　6篇 内容提要： ? 颅脑外伤术后颅内感染的相关因素和有效治疗 ? 论人性化护理服务对提高护士素质和患者满意度的效果研究 ? 腹腔镜对剖宫产瘢痕妊娠治疗效果探析 ? 护患沟通技巧在耳鼻喉科运用体会探究 ? 探讨TCD在蛛网膜下腔出血患者痉挛诊断中的应用 ? 青少年近视屈光度数与眼压的相关性研究 全文共19067 字 颅脑外伤术后颅内感染的相关因素和有效治疗 刘永明 [摘要] 目的 探讨颅脑外伤术后颅内感染的相关因素及有效治疗。 方法 选择于2009年3月—2014年5月在我院因颅脑外伤行手术治疗后发生颅内感染的患者61例，对所有患者的临床资料进行分析，并探讨其临床治疗方法。结果 通过分析总结，可见颅脑外伤术后发生颅内感染与患者术前GCS评分、颅脑损伤类型、手术持续时间、手术治疗次数、切口脑脊液漏以及低蛋白血症等因素有关，差异具有统计学意义（P0.05）；而与性别、年龄及气管是否切开等因素无关，差异无统计学意义（P0.05）。将单因素分析中具有统计学意义的6项进行Logistic多元回归分析，发现切口脑脊液漏、手术次数、手术时间及低蛋白血症是颅脑外伤术后发生颅内感染的　高危因素，差异均具有统计学意义（P0.05）。经治疗，痊愈49例（80.33%），治疗无效　12例（19.67%）。结论 颅脑外伤术后发生颅内感染的高危因素众多，采取积极有效的预防性措施，及时给予合理的抗菌药物，是提高治愈率的关键。 [关键词] 颅脑外伤术后；颅内感染；相关因素；有效治疗 [中图分类号] R651.15　　　[文献标识码] A　　　[文章编号] 1672-5654（2014）11（a）-0024-02 ntracranial infection after craniocerebral trauma related factors and effective treatment LIU Yongming Benxi City Liaoning province general department of neurosurgery，Liaoning 117000 ,China [Abstract] Objective Factors Related to traumatic brain injury and intracranial infection after effective treatment. Methods Select the 61 patients in March 2009 to May 2014 in our hospital after surgical treatment of traumatic brain injury due to intracranial infection. The clinical data were analyzed for all patients, and the clinical treatment. Results By analyzing the summary, showing the former head trauma and postoperative infection in patients undergoing intracranial GCS score, brain injury type, duration of surgery, surgical treatment times, cut cerebrospinal fluid leakage and low albumin and other factors, the difference was statistically significance (P0.05); but not with sex, age and other factors unrelated to the trachea are cut, the difference was not statistically significant (P0.05). The six were Logistic regression analysis was statistically significant in univariate analysis, we found incision cerebrospinal fluid leakage, the number of operations, operation time and low albumin is an independent risk factor for the occurrence of intracranial infection after trau