Ⅰ类切口开颅术后颅内感染的相关危险因素分析

doi:10.3969/j.issn.1671-7171.2022.04.001

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Abstract 【Objective】To explore the risk factors of intracranial infection after neurosurgical class Ⅰ incision craniotomy. 【Methods】 The clinical data of 725 patients who underwent class Ⅰ incision craniotomy in our hospital from January 2018 to December 2019 were analyzed retrospectively. The possible risk factors were analyzed by univariate analysis and multivariate logistic regression analysis. 【Results】Intracranial infection occurred in 63 of 725 patients (8.69%). Univariate analysis showed that age >50 years, BMI >27 kg/m², operation time >4 h, diabetes history, emergency operation, open lateral ventricle, preoperative prophylactic use of antibiotics, drainage tube, postoperative cerebrospinal fluid leakage, and intraoperative microscopy were associated risk factors for intracranial infection after operation (P<0.05). Multivariate Logistic regression analysis showed that age, history of diabetes, preoperative antibiotic use, cerebrospinal fluid leakage, and drainage tube were independent risk factors for intracranial infection after operation (P<0.05). 【Conclusion】Age, history of diabetes, preventive use of antibiotics, indwelling drainage tube and cerebrospinal fluid leakage are risk factors for intracranial infection after craniotomy. Clinical preventive measures should be taken to intervene early in these risk factors, so as to reduce the incidence of intracranial infection after operation.

Key words： Craniotomy/AE Surgical Wound Infection/SU Risk Factors

Received: 12 May 2021

PACS:

R651.1

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	ZHANG Shi-yuan
	SHI Hai-ping
	ZENG Chun
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Cite this article:

ZHANG Shi-yuan,SHI Hai-ping,ZENG Chun, et al. Analysis of Related Risk Factors of Intracranial Infection after Class Ⅰ Incision Craniotomy[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(4): 481-483.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.04.001 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I4/481

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