颅脑手术使用两种不同引流装置发生颅内感染的临床研究

目的对颅脑手术使用两种不同引流装置引发颅内感染因素分析,为临床提供参考。方法选取神经外科颅脑手术患者407例,观察组188患者使用的引流装置为一次性颅脑外引流器,对照组219例患者使用传统硅胶引流管外接一次性引流袋,对比分析2组患者发生颅内感染情况。结果对照组发生颅内感染21例(9.59%),观察组发生颅内感染2例(1.06%),2组比较差异有统计学意义(P<0.05)。2组颅内感染患者引流管留置管道比较,差异有统计学意义(P<0.05)。对照组颅内感染患者引流管留置时间显著比观察者时间长,差异有统计学意义(P<0.05)。结论神经外科颅脑手术患者使用一次性颅脑外引流器,能够缩短引流时间,提高手术成功率,有效降低颅内感染发生率,改善预后。

Objective for brain surgery using two different drainage device intracranial infection caused by factor analysis, to provide reference for clinical use. Methods Neurosurgical patients undergoing neurosurgery were 407 cases, the drainage device to observe patients for one-time use of brain drainage, a control group using conventional external disposable silicone drainage tube drainage bag, comparative analysis two groups of patients with intracranial infection. Results In the control group, 21 cases of intracranial infection （9.59%）, the observation group 2 cases of intracranial infection （1.06%）, the difference was statistically signiifcant （P〈0.05）. Two groups of patients with intracranial infection drainage tube indwelling pipeline, the difference was statistically signiifcant （P〈0.05）. The control group of patients with intracranial infection drainage tube indwelling time was signiifcantly longer than the time the observer, the difference was statistically signiifcant （P〈0.05）. Conclusion Neurosurgical patients undergoing neurosurgery brain using disposable drainage device, drainage time can be shortened, improve the success rate, reduce the incidence of intracranial infection, improve prognosis.