颅脑清洁手术患者手术部位感染目标性监测结果分析

An analysis on results of targeted monitoring for surgical site infection in patients underwent noninfectious craniocerebral surgery

目的总结颅脑清洁手术患者手术部位感染目标性监测的效果。方法制定并执行监测方案,收集A、B两个脑外科病区手术部位感染相关资料,分析其危险因素。结果共监测颅脑清洁手术780例,发生院内感染132例,总感染率为16.92%。其中,手术部位感染率28.79%。手术时间、ASA评分、术前外周血白细胞计数和手术医生职称是手术部位感染的危险因素(P<0.05)。A病区手术部位感染率低于B病区(2.74%vs.6.42%)(P<0.05)。结论颅脑手术患者院内感染发生率较高。通过有效的目标性监测,发现感染的危险因素并采取适当的干预措施,可以降低手术部位感染的发生率。

Objective To summarize the results of targeted monitoring for surgical site infection （SSI） in the patients underwent non-infectious craniocerebral surgery. Methods Postoperative infection-related data from two neurosurgical wards were collected by selfmade investigation scale for targeted SSI monitoring. The risk factors for SSI were analyzed. Results A total of 780 cases underwent non-infectious craniocerebral surgery, of whom 132 （ 16.92%） cases occurred nosocomial infection. The SSI rate accounted for 28.79%. The time of operation, ASA grade, preoperative white blood cell count and surgical skill were the risk factors for SSI（P^0. 05）. The SSI rate was lower in the patients of ward A than that in those of ward B（2. 74% vs. 6.42%） （P〈0. 05）. Conclusion The incidence of nosocomial infections is high in the department of neurosurgery. With targeted monitoring for SSI,the SSI rate may be reduced by finding out the risk factors for SSI and taking appropriate measures to overcome.