Study on related factors of pulmonary infection in patients with craniocerebral injury after craniotomy
Objective To explore the risk factors of pulmonary infection in patients after craniotomy.Methods Totally 134 patients with craniotomy for craniocerebral injury admitted to the First Affiliated Hospital of Zhengzhou University from March 2021 to April 2023 were selected.Patients are divided into uninfected and infected groups based on whether they have experienced pulmonary infection after craniotomy.Collect and analyze medical record information such as gen-der,age,and type of brain injury of patients.Results The pulmonary infection rate after craniotomy was 34.81％,and the non-infection rate was 64.44％.After a single factor analysis of the cause of lung infection in patients,There were statistically significant differences in ASA grade,brain injury type,GCS score,operation time,preoperative blood glu-cose,tracheotomy or not,antibiotic use time,intraoperative blood loss,serum albumin content,procalcitonin content,C-reactive protein content within 7 days after operation,ventilator use time,and antibiotic prophylactic use(P＜0.05).Multivariate logistic analysis showed that GCS score,preoperative blood glucose content,bed time after surgery,tracheotomy or not,ventilator use time and antibiotic use were all risk factors for pulmonary infection after cra-niotomy.Conclusion The complications of pulmonary infection in patients after craniotomy are closely related to GCS score,preoperative blood sugar content,postoperative bed rest time,whether the trachea is cut open,the duration of ventilator use,and the use of antibiotics.In clinical work,attention should be paid to the prevention and treatment of such problems.
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