类别：数据智能 / 日期：2024-11-03 / 浏览：16 / 评论：0
CHINESECOMMUNITYDOCTORS论著·临床论坛
脑外伤开颅术后颅内感染发生的危险因素分析
杨宏建石强杨云峰晏桢
614000武警四川省总队医院神经外科
doi:10.3969/j.issn.1007-614x.2019.08.055
摘要目的：探讨脑外伤开颅术后颅内感染发生的危险因素。方法：收治开颅手术脑外伤患者100例，分研究组(开
颅术后发生颅内感染)和对照组(开颅术后未发生颅内感染)。分析研究组开颅术后发生颅内感染的相关因素。结果：研
究组和对照组在年龄、术前GCS评分＜8分、手术时间、脑脊液瘘、术后低蛋白、择期手术上差异有统计学意义(P＜
0.05)；年龄、术前GCS评分＜8分、手术时间、脑脊液瘘、术后低蛋白、择期手术为发生颅内感染的高危因素。结论：
脑外伤开颅术后发生颅内感染的危险因素有高龄、低GCS评分、手术时间延长、脑脊液瘘、术后低蛋白及择期手术。
关键词脑外伤；开颅；颅内感染
Riskfactorsforintracranialinfectionaftercraniotomyinpatientswithtraumaticbraininjury
YangHongjian,ShiQiang,YangYunfeng,YanZhen
DepartmentofNeurosurgery,SichuanProvincialGeneralHospitalofArmedPoliceForce614000
AbstractObjective:Toexploretheriskfactorsofintracranialinfectionaftercraniotomy.Methods:100patientswithtraumatic
braininjuryaftercraniotomywereselected,theyweredividedintothetwogroups:thestudygroup(intracranialinfectionoccurred
aftercraniotomy)andthecontrolgroup(nointracranialinfectionoccurredaftercraniotomy).Therelatedfactorsofintracranial
infectionaftercraniotomywereanalyzed.Results:Thereweresignificantdifferencesinage,preoperativeGCSscore＜8,operation
time,cerebrospinalfluidfistula,postoperativelowproteinandselectiveoperationbetweenthestudygroupandthecontrol
group(P＜0.05).Age,preoperativeGCSscore＜8,operationtime,cerebrospinalfluidfistula,postoperativelowproteinandselective
operationwerethehighincidenceofintracranialinfectiondangerousfactors.Conclusion:Theriskfactorsofintracranialinfection
aftercraniotomyfortraumaticbraininjuryareoldage,lowGCSscore,prolongedoperationtime,cerebrospinalfluidfistula,
postoperativelowproteinandselectiveoperation.
KeywordsTraumaticbraininjury;Craniotomy;Intracranialinfection
脑外伤是神经外科的危重疾病，多15.22)岁。对照组男25例，女25例；年龄GCS评分＜8分、手术时间、脑脊液瘘、
需要采取开颅术治疗。相关研究指出开
