首页|神经外科颅脑手术Ⅰ类切口手术部位感染的危险因素分析

神经外科颅脑手术Ⅰ类切口手术部位感染的危险因素分析

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目的 分析神经外科颅脑手术Ⅰ类切口手术部位感染的危险因素.方法 通过医院感染实时监测杏林系统提取2022年1月—12月在德州市人民医院实施神经外科开颅Ⅰ类切口手术的256例患者的临床资料进行回顾性分析,统计感染发生率.发生感染者12例纳入感染组,未发生感染244例者纳入未感染组,Logistic回归性分析感染原因和独立危险因素.结果 单因素分析,感染组糖尿病、低蛋白血症、再次手术、脑室引流、手术时间与未感染组对比,差异有统计学意义(P均<0.05).多因素分析:糖尿病、低蛋白血症、再次手术、脑室引流、手术时间≥4 h为诱发感染的独立危险因素(OR=2.142,1.841,1.264,1.041,1.108,P均<0.05).结论 神经外科颅脑手术Ⅰ类切口手术部位感染的出现与糖尿病、低蛋白血症、再次手术、脑室引流、手术时间较长等因素密切相关,为有效避免手术切口感染需要展开针对性干预措施.
Analysis of Risk Factors for Surgical Site Infection in Class Ⅰ Incision in Neurosurgery Craniocerebral Surgery
Objective To analyze the risk factors of surgical site infection of Class Ⅰ incision in neurosurgical cranioce-rebral surgery.Methods The clinical data of two hundred and fifty-six patients who underwent neurosurgical crani-otomy Class Ⅰ incision in Dezhou People's Hospital from January 2022 to December 2022 were retrospectively ana-lyzed by means of real-time nosocomial infection monitoring Xinglin system,and the incidence of infection was statis-tically analyzed.12 infected patients were included in the infected group,and two hundred and forty-four uninfected patients were included in the uninfected group.The causes of infection and independent risk factors were analyzed by Logistic regression.Results By univariate analysis,there were statistically significant differences in diabetes,hypopro-teinemia,reoperation,ventricular drainage and operation time between the infected group and the uninfected group(all P<0.05).Multivariate analysis:diabetes mellitus,hypoproteinemia,reoperation,ventricular drainage and operation time≥4 h were independent risk factors for infection(OR=2.142,1.841,1.264,1.041,1.108,all P<0.05).Conclusion The occurrence of surgical site infection of Class Ⅰ incision in neurosurgery craniocerebral surgery is closely related to diabetes,hypoproteinemia,reoperation,ventricular drainage,and longer operation time.Targeted intervention mea-sures are needed to effectively avoid surgical incision infection.

NeurosurgeryCraniocerebral surgeryClass Ⅰ incisionSurgical site infectionRisk factorsLogistic regression analysis

历艳娟、历延军

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山东大学齐鲁医院德州医院(德州市人民医院)院感科,山东 德州 253000

德州市第二人民医院胸外科,山东德州 253000

神经外科 颅脑手术 Ⅰ类切口 手术部位感染 危险因素 Logistic回归分析

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(12)
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