| 摘要: |
| ［摘要］ 目的 探讨影响重型颅脑损伤开颅手术后医院感染的相关危险因素。方法 对2005-01～2008-01间115例重型颅脑损伤开颅手术后患者的临床资料进行回顾性分析，将患者性别、年龄、开放性伤口、手术时间、气管切开及住院时间与患者发生医院感染间的关系进行统计学分析。结果 重型颅脑损伤手术后患者的医院感染率为28.7%。影响重型颅脑损伤手术后患者发生医院感染的相关危险因素和顺序依次为年龄、住院时间、气管切开及手术时间，性别和开放性伤口对医院感染的影响不大。结论 年龄与重型颅脑损伤开颅手术后医院感染呈现最强相关关系。可控因素中，住院时间、气管切开及手术时间为影响术后医院感染的关键因素。 |
| 关键词: 颅脑损伤 外科手术 医院感染 危险因素 |
| DOI：10.3969/j.issn.1674-3806.2010.08.23 |
| 分类号:R 651.1 |
| 基金项目: |
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| A multiple correlation factor analysis of postoperative nosocomial infection in patients with severe brain injury undergoing craniotomy |
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JIANG Guo-rong
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Department of Neurosurgery, Jurong People′s Hospital, Jiangsu 212400,China
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| Abstract: |
| ［Abstract］ Objective To investigate factors related to postoperative nosocomial infection in patients with severe brain injury undergoing craniotomy.Methods The clinical data of 115 postoperative patients with severe brain injury undergoing craniotomy from January 2005 to January 2008 were retrospectively analysed. The multiple factors, including gender, age, open wound, operation time, incision of trachea, and hospital stay were statistically analysed by SPSS statistic system.Results The postoperative nosocomial infection rate was 28.7﹪ in these patients.Factors that might have an impact on nosocomial infection were ranked in the following likelihood sequence: age, hospital stay, incision of trachea and operation time. Gender and open wound were found to have little impact on the nosocomial infection.Conclusion Age is the most critical factor that influences the prognosis of nosocomial infection. As important controllable factors, hospital stay, incision of trachea and operation time, are closely related to postoperative nosocomial infection in patients with severe brain injury undergoing craniotomy. |
| Key words: Brain injury Operation Nosocomial infection Risk factor |
