目的　探讨目标性监测在脑外科的应用效果。方法　专人采用前瞻性调查方法 ,制定结果目标、进程目标 ,划分临床小组 ,定期信息反馈、效果评价、纠正偏差。结果　完成进程目标 :1996年 7月～ 1997年 6月脑外科医院感染率由 2 6 0 7%下降到 2 1 32 % (χ2 =4 34 6 5 ,P<0 0 5 ) ;完成结果目标 :1997年 7月～ 1998年 6月感染率由 2 1 32 %下降到 13 40 % (χ2 =16 1193,P <0 0 1)。结论　目标性监测是确见成效的监测 ,信息反馈、效果评价必不可少 ,证实在脑外科应用目标性监测已初见成效 Objective To explore the effect of target monitoring in brain surgery. Methodology using prospective investigation methods, the development of goals, process goals, the division of clinical teams, regular feedback, the effect of evaluation, to correct bias. Results Objectives of the process: From July 1996 to June 1997, the infection rate of brain surgery hospital decreased from 267% to 2132% (χ2 = 344665, P <0 05). Result: From July 1997 to June 1998, the infection rate decreased from 21 32% to 13 40% (χ 2 = 16 1193, P 0 01). CONCLUSIONS: Targeted monitoring is indeed effective monitoring, information feedback and evaluation of effects are indispensable. It is confirmed that target monitoring in brain surgery has achieved initial success