锥孔引流术后颅内感染监测分析

Surveillance to encephalic infection after foramen drainage operation

目的了解医院锥孔引流术后颅内感染情况,探讨其相关危险因素及预防方法。方法回顾性调查2008年1-12月在神经外科住院行锥孔引流术的患者,对其设为对照组;目标性监测2009年1-12月实施锥孔引流术的患者,对其设为监测组,比较两组患者发生颅内感染情况。结果 126例行目标性监测患者发生颅内感染8例,感染率为6.35%;对照组110例患者发生颅内感染13例,感染率为11.81%,两组比较,差异有统计学意义(P<0.05)。结论通过目标性监测,针对锥孔引流术后可能引起颅内感染的危险因素采取可行的干预措施,可降低颅内感染的发生率。

OBJECTIVE To know about the status of encephalic infection after foramen drainage operation,and explore the correlative risk factors and the preventive measures.METHODS Retrospective survey on patients performed foramen drainage operation in neurosurgery department from Jan to Dec 2008 was performed,and set as control group;Targed monitoring to the patients performed foramen drainage operations from Jan to Dec 2009 was done executed and set as monitoring group;and the status of encephalic infections in the two group was compared.RESULTS A total of 8 cases occurred in the encephalic infection among 126 cases of patients received the targeted surveillance with the infection rate of 6.35%,while 13 cases occurred among 110 case of patients in control group with the infection rate of 11.81%,the difference between the 2 groups was statistically significant（P0.05）.CONCLUSION It is feasible to adopt intervention measures in accordance with the possible encephalic infection after foramen drainage operation,and the incidence of the encephalic infection can be reduced through the targeted surveillance.