《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (11): 1077-1080.

• 临床观察 • 上一篇    下一篇

脑室腹腔分流术后感染相关因素及术中管理

王建军，孙炜，周剑云，张新，高海滨，王宇，王利清   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院神经外科，北京市100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-11-25 发布日期:2014-11-25

Related Factors and Prevention for Infection post Ventricle-peritoneal Shunt

WANG Jian-jun, SUN Wei, ZHOU Jian-yun, ZHANG Xin, GAO Hai-bin, WANG Yu, WANG Li-qing.   

  1. Capital Medical University School of Rehabilitation Medicine, Department of Neurosurgery,Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-11-25 Online:2014-11-25

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被引次数

12

摘要： 目的探讨脑室腹腔分流术后感染相关因素及预防措施。方法回顾性分析85 例行脑室腹腔分流术治疗的继发性正常颅压脑积水患者的感染相关因素。观察加强无菌管理措施的效果。结果脑室腹腔分流术后总感染率为7%。术后感染患者与非感染患者以下因素有显著性差异：术前有过感染史(肺炎、泌尿系感染、颅内感染、胆道感染)；手术操作者；日常生活活动能力。加用新的预防措施后，手术感染率从常规无菌操作时9.8% (6/61)降为0 (0/24)。结论脑室腹腔分流术术后感染与多因素相关，主要与接触感染及患者易感性相关。加强预防措施能明显降低感染率。

关键词: 正常颅压脑积水, 脑室腹腔分流术, 感染, 预防

Abstract: Objective To investigate the related factors of infection post ventricle-peritoneal shunt and explore some preventive measures.Methods 85 cases after ventricle-peritoneal shunt for normal pressure cranial hydrocephalus were analysed retrospectively. The effect of intensive prevention was observed. Results The overall infection rate was 7% after ventricle-peritoneal shunt. There was significant difference between the patients with or without infection post-operation in some factors, such as preoperative infection (pneumonia, urinary tract infection, intracranial infection, biliary infection); the operator; activities of daily living. It was 9.8% (6/61) under routine aseptic operation,and was 0 (0/24) under intensive management. Conclusion Infection after ventricle-peritoneal shunt is associated with many factors, especially the susceptibility and contact to infection. Intensive management can significantly prevent the infection.

Key words: normal pressure hydrocephalus, ventricle-peritoneal shunt, infection, prevention