脑脊液分流术后感染的原因分析及护理干预

摘要

Objective To explore the factors related with the infection after cerebrospinal fluid shunt (CFS) and nursing interventions. Methods 115 patients receiving CFS were reviewed. Results From November, 2009 to December, 2011, infection was found in 11 of 60 pa-tients receiving CFS (18.3%). After intensive intervention, no infected case was found from January, 2012 to August, 2013 in 55 cases re-ceiving CFS. Factors related with the infection included non-antibiotic-soaked shunt, non-laminar flow operating room, one-glove surgical procedure, and too many persons in the operating room. Conclusion Intensive nursing interventions can prevent the infection after CFS.%目的：探讨脑脊液分流术后感染的原因及护理干预措施。方法回顾115例脑脊液分流术患者的临床资料。结果2009年9月~2011年12月，手术60例，发生感染11例(18%)。加强防控感染措施后，2012年1月~2013年8月，手术55例，发生感染0。感染原因与未采用抗生素浸泡分流管、使用非层流手术室、术者戴单层手套且术中未更换无菌手套以及手术间人数过多相关。结论正确的护理干预措施有助于预防脑脊液分流术后感染。