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目的:分析神经外科手术感染的相关因素,研究有效防范手术感染的措施。方法:随机抽取浙江中医药大学附属宁波市中医院近5年收治的神经外科手术患者297例为研究对象,选取其中41例出现手术感染的患者为感染组,40例无感染的患者为对照组。分析两组患者在年龄、合并慢性疾病、手术情况等方面的差异。结果:感染组年龄大、合并慢性疾病率高、手术时间与住院时间长,与对照组相比差异显著(P<0.05),颅内感染、呼吸道感染及留置导尿致尿路感染是主要的感染形式。经治疗与护理处理,神经外科手术感染控制率为100%。结论:神经外科手术感染与诸多因素有关,在临床当中,应针对患者可能出现得术后感染应全面加强对手术前后及术中的规范管理,严格操作,降低感染发生率,若出现感染应及时进行对症治疗和护理。
Objective: To analyze the related factors of neurosurgical infection and to study the effective measures to prevent surgical infection. Methods: A total of 297 neurosurgical patients admitted to Ningbo Hospital of Traditional Chinese Medicine, Zhejiang University of Traditional Chinese Medicine were randomly selected from the study. Among them, 41 cases were infected with infection and 40 cases without infection were control group . Analysis of two groups of patients in terms of age, chronic diseases, surgical conditions and other differences. Results: In the infection group, the age was high, the rate of chronic diseases was high, the operation time and hospitalization time were longer than those in the control group (P <0.05). The intracranial infection, respiratory tract infection and urinary tract infection caused by catheterization were the main factors Infection form. After treatment and nursing, neurosurgical infection control rate was 100%. CONCLUSIONS: Neurosurgical infection is related to many factors. In clinical practice, it is suggested that patients should be treated for postoperative infection. The standardized management before and after operation and during operation should be comprehensively strengthened to reduce the incidence of infection. In case of infection, the infection should be timely For symptomatic treatment and care.