[1]王声播　孙蔚宇　张继波　武融青　辛　灿　陈劲草.神经外科复合手术后感染分析及防范措施[J].中国临床神经外科杂志,2019,(11):656-658.[doi:10.13798/j.issn.1009-153X.2019.11.006]
　WANG Sheng-bo,SUN Wei-yu,ZHANG Ji-bo,et al.Analysis of factors related to postoperative infection in neurosurgical patients undergoing craniotomy in hybridization operating room[J].,2019,(11):656-658.[doi:10.13798/j.issn.1009-153X.2019.11.006]
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神经外科复合手术后感染分析及防范措施()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年11期
页码:
656-658
栏目:
论著
出版日期:
2019-11-25

文章信息/Info

Title:
Analysis of factors related to postoperative infection in neurosurgical patients undergoing craniotomy in hybridization operating room
文章编号:
1009-153X（2019）11-0656-03
作者:
王声播　孙蔚宇　张继波　武融青　辛　灿　陈劲草
430061 武汉，武汉大学中南医院神经外科（王声播、孙蔚宇、张继波、武融青、辛　灿、陈劲草）
Author(s):
WANG Sheng-bo;  SUN Wei-yu;  ZHANG Ji-bo;  WU Rong-qing;  XIN Can;  CHEN Jin-cao.
Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan 430071, China
关键词:
神经外科; 复合手术; 感染; 临床分析
Keywords:
Neurosurgery;  Hybridization operating room;  Postoperative infection;  Related factors;  Clinical analysis
分类号:
R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.11.006
文献标志码:
A
摘要:
目的 探讨神经外科复合手术后感染的发生率及危险因素。方法 选择2017年8月至2019年1月我院复合手术室进行的101台开放性手术，回顾性分析病例资料、实验室检查、影像学检查等资料，采用多因素logistic回归分析检验危险因素。结果 101例中，38例术后出现感染，发生率为37.6%，其中颅内感染4例。单因素分析结果显示，年龄、存在呼吸系统基础疾病、术后出血、术后脑梗死与术后感染有关（P<0.05），多因素logistic回归分析结果显示术后脑出血是术后发生感染的独立危险因素（OR=17.315；95% CI 1.931~155.292；P=0.011）。结论 神经外科复合手术后感染发生率较高，肺部仍是术后感染的主要部位，术后脑出血是独立危险因素，应采取预防措施以降低感染率。
Abstract:
Objective To analyzed the factors related to postoperative infection in the neurosurgical patients undergoing craniotomy in hybridization operating room. Methods Of 101 patients undergoing open neurosurgery in the hybridization operating room from August, 2017 to January, 2019, 38 had postoperative infection, including 32 patients with pulmonary infection, 1 with intracranial infection, 3 with intracranial infection complicated with pulmonary infection and 3 with pulmonary infection complicated with urinary system infection and 63 not. The factors related to the postoperative infection were statistically analyzed. Results The univariate analysis showed that the factors related to the postoperative infection included the patient's age, preoperative respiratory diseases, postoperative cerebral hemorrhage and postoperative cerebral infarction. The multivariate analysis showed that the independent risk factors included the preoperative respiratory diseases, postoperative cerebral hemorrhage and postoperative cerebral infarction. Conclusions The positive measures directing at the above-mentioned factors related to the postoperative infection should be taken in order to reduce the rate of infection in the neurosurgical patients undergoing the craniotomy in the hybridization operating room.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：陈劲草，E-mail：chenjincao@hotmail.com（2019-04-30收稿，2019-07-08修回）
更新日期/Last Update: 2019-11-20