颅脑外伤术后颅内感染相关危险因素分析

目的探讨影响患者颅脑外伤开颅术后颅内感染的相关危险因素,并对其进行分析。方法采用回顾性研究比较分析了我科439例颅脑外伤病人术后出现颅内感染和术后未出现颅内感染组间的相关差异因素。结果 439例患者中,发生颅内感染65例,颅内感染率为14.81%。颅脑外伤术后颅内感染与开放性颅脑损伤、GCS评分、术后放置外引流管有关,而与性别、年龄、手术持续时间等因素无关。结论对具有上述危险因素的颅脑外伤的病人应给予更密切的关注和预防性的处理。

Risk factors of affecting intracranial infection complicating brain injury operation

Objective To discuss the risk factors attributing intracranial infection following brain injury operation. Methods Difference factors between intracranial infection group and non- infection group following brain injury operations were compared by retrospective analysis. Results Involved in the study were 439 cases, 374 cases in non-infectiVe group and 65 cases（ 14. 81% ）in infective group. It revealed that infection rate was closely related to the open craniocerebral injuries, the GCS scores and the drainage, while had little effect of sex, age and the duration of operation. Conclusions It should be pay more attention and prophylactic treatments for the brain injury with infective risk factors mentioned above.