摘要
目的探讨脑外伤患者术后发生颅内感染的相关因素,为临床防治提供依据。方法回顾性分析2012年1月-2013年1月脑外伤术后患者279例临床资料,分析可能造成颅内感染的相关因素,并提出相应护理对策,采用SPSS 17.0软件进行统计分析。结果 279例脑外伤患者术后共发生感染61例,感染率为21.9%;手术次数≥2次、手术时间≥4h、术后血清白蛋白<25g/L和发生切口脑脊液漏是脑外伤患者术后颅内感染的独立危险因素(P<0.05)。结论脑外伤患者术后颅内感染与多个因素相关,临床上应针对高危因素,积极采取措施,预防颅内感染发生,提高脑外伤患者手术治疗效果,保障患者的生命安全。
OBJECTIVE To explore the correlative factors of intracranial infections in cerebral trauma after operation,so as to provide references for clinical prevention and treatment.METHODS The clinical data of 279 cases of patients with cerebral trauma after operation from Jan.2012 to Jan.2013 were analyzed retrospectively.The possible related factors of intracranial infections were discussed and relevant nursing strategy was proposed.All data were statistically analyzed by SPSS 17.0software.RESULTS Totally 61 cases appeared intracranial infections in all 279 patients with cerebral trauma and the infection rate was 21.9%.The independent risk factors included operation more than twice,length of operation more than 4hours,albumin content25g/L and cerebrospinal fluid leakage(P〈0.05).CONCLUSION Many factors are related with intracranial infections in cerebral trauma after operation.So it′s necessary to take active measures aiming at risk factors to prevent infections,accordingly improve operation effect and ensure the patients′life safety.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第8期1833-1834,1837,共3页
Chinese Journal of Nosocomiology
基金
杭州市科技局基金资助项目(20110833B04)
关键词
脑外伤
颅内感染
相关因素
护理
Cerebral trauma
Intracranial infection
Correlative factor
Nursing