《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (5): 497-500.

• 论文 • 上一篇    下一篇

脑脊液分流术后感染的原因分析及护理干预

赵泉，王强，张兰英，王秋月   

  1. 1.中国康复研究中心北京博爱医院，北京市100068；2.首都医科大学康复医学院，北京市100068。
  • 收稿日期:2013-10-10 修回日期:2014-01-17 出版日期:2014-05-25 发布日期:2014-05-25
  • 通讯作者: 张兰英

Factors Related with Infection after Cerebrospinal Fluid Shunt and Nursing Interventions

HAO Quan, WANG Qiang, ZHANG Lan-ying, et al.   

  1. Operating Room, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2013-10-10 Revised:2014-01-17 Published:2014-05-25 Online:2014-05-25

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摘要： 目的探讨脑脊液分流术后感染的原因及护理干预措施。方法回顾115 例脑脊液分流术患者的临床资料。结果2009 年9 月~2011 年12 月，手术60 例，发生感染11 例(18%)。加强防控感染措施后，2012 年1 月~2013 年8 月，手术55 例，发生感染0。感染原因与未采用抗生素浸泡分流管、使用非层流手术室、术者戴单层手套且术中未更换无菌手套以及手术间人数过多相关。结论正确的护理干预措施有助于预防脑脊液分流术后感染。

关键词: 脑积水, 脑脊液分流术, 感染, 护理

Abstract: Objective To explore the factors related with the infection after cerebrospinal fluid shunt (CFS) and nursing interventions.Methods 115 patients receiving CFS were reviewed. Results From November, 2009 to December, 2011, infection was found in 11 of 60 patients receiving CFS (18.3%). After intensive intervention, no infected case was found from January, 2012 to August, 2013 in 55 cases receiving CFS. Factors related with the infection included non-antibiotic-soaked shunt, non-laminar flow operating room, one-glove surgical procedure, and too many persons in the operating room. Conclusion Intensive nursing interventions can prevent the infection after CFS.

Key words: hydrocephalus, cerebrospinal fluid shunt, infection, nursing