颅脑损伤患者医院感染因素及预防控制探讨

摘要

目的：探讨颅脑损伤患者医院感染危险因素及其预防控制措施。方法：选取2011年8月至2014年8月神经外科颅脑损伤患者258例，其中发生医院内感染82例。采用回顾性调查方法，分析发生医院感染的危险因素及其预防控制措施。结果：性别与医院内感染的发生无直接关系（P ﹥0．05）；而年龄（≥60岁）、格拉斯哥评分﹤12分、颅脑手术、气管切开术、留置各种管道等，是颅脑损伤患者发生医院感染的危险因素（ P＜0．05）。结论：颅脑损伤患者医院感染发生率较高，主要危险因素有高龄、手术创伤、病情危重程度、气管切开、留置各种引流管等，应采取积极妥当的措施，避免或减少医院感染的发生。%Objective:To study the risk factors and measures of prevention and control of nosocomial in-fection of patients with craniocerebral injury .Method:With retrospective survey method , analyzing the risk factors and measures of prevention and control of nosocomial infection in 258 patients with craniocerebral in-jury from department of neurosurgery from August 2011 to August 2014 , 82 of them suffered from nosocomial infection.Result:There wasn’t direct relationship between sex and nosocomial infection (P>0.05).Nosoco-mial infection incidence rate of patients who went through more than 60 years old, Glasgow Coma Scale lower than 12, craniocerebral operation , tracheotomy or indwelling catheter was higher than contrary group ( P<0. 05 ) .Conclusion:Nosocomial infection incidence rate is high in patients with craniocerebral injury , the ma-jor risks including operative wound , state of illness, tracheotomy, inlying drainage-tube and so on.Positive and proper measures should be taken so as to avoid or reduce nosocomial infection .