|
|||||
|
|
| 急诊颅脑手术后颅内感染危险因素的logistic回归分析及预防对策 | |
| 引用本文： | 代荣晓,金国良,何继红,刘建明,肖启华. 急诊颅脑手术后颅内感染危险因素的logistic回归分析及预防对策[J]. 中华医院感染学杂志, 2011, 21(15): 3169-3171 |
| 作者姓名： | 代荣晓 金国良 何继红 刘建明 肖启华 |
| 作者单位： | 1. 绍兴市人民医院神经外科,浙江,绍兴,312000 2. 广东中医药大学第一附属医院神经外科,广东,广州,510000 3. 苏州市第二人民医院神经外科,江苏,苏州,215000 |
| 摘 要： | 目的回顾分析近5年急诊颅脑手术后发生颅内感染的危险因素,为临床预防和控制颅内感染提供依据。方法对2005年1月-2009年12月急诊颅脑手术后273例发生颅内感染和841例未发生颅内感染病例的一般资料、基础疾病、手术情况、手术入路方式、颅内置管引流、术后气管切开、手术类型、脑脊液漏及手术人员等因素进行统计分析。结果单因素分析结果显示,两组病例在基础疾病、手术情况、手术入路方式、颅内置管引流、术后气管切开、手术类型、脑脊液漏及手术人员等方面差异有统计学意义(P<0.05);进一步通过多因素logistic回归分析发现,手术持续时间、脑脊液漏和手术人员是颅脑手术后发生颅内感染的独立危险因素;急诊开颅手术后颅内感染病原菌的阳性率为53.5%。结论颅脑手术后发生颅内感染与手术持续时间,脑脊液漏和手术人员等有关,颅内感染应重点预防,同时提高细菌培养结果是治疗的关键。 |
| 关 键 词： | 神经外科手术 颅脑损伤 颅内感染 危险因素 logistic回归分析 |
Logistic regression analysis of risk factors related to intracranial infection after emergency craniotomy and preventive measures |
|
| DAI Rong-xiao,JIN Guo-liang,HE Ji-hong,LIU Jian-ming,XIAO Qi-hua. Logistic regression analysis of risk factors related to intracranial infection after emergency craniotomy and preventive measures[J]. Chinese Journal of Nosocomiology, 2011, 21(15): 3169-3171 | |
| Authors: | DAI Rong-xiao JIN Guo-liang HE Ji-hong LIU Jian-ming XIAO Qi-hua |
| Affiliation: | (People′s Hospital of Shaoxing,Shaoxing,Zhejiang 312000,China) |
| Abstract: | OBJECTIVE To study the risk factors for emergency postcraniotomy intracranial infection in patients in department of neurosurgery in the last 5 years,and provide reference for the prevention and control of intracranial infection.METHODS The 273 patients with intracrania1 infection and the 841 patients without intracranial infection from Jan 2005 to Dec 2009 were investigated through statistic analysis of patients'general information,basic diseases,operation,invasive procedure of operation,intracranial cathe... |
| Keywords: | Neurosurgical operation Traumatic brain injury Intracranial infection Risk factors Logistic regression analysis |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |