不同洁净度手术间对颅脑外科手术部位感染的影响

Effect of operating rooms of different cleanliness on surgical site infection in craniocerebral operation

摘要:

目的研究两种不同洁净度的手术间对神经外科颅脑手术手术部位感染（SSI）的影响，为防控SSI提供参考。方法回顾性研究某院2015年7月—2016年7月神经外科在Ⅰ级和Ⅱ级手术间开展的颅脑手术病例，其中Ⅰ级手术间的病例为对照组，Ⅱ级手术间的病例为试验组，比较两组患者SSI发生情况。结果共调查颅脑手术患者454例，对照组（Ⅰ级手术间）212例，试验组（Ⅱ级手术间）242例。对照组患者发生SSI 25例，SSI发病率为11.79%；试验组患者发生SSI 31例，SSI发病率为12.81%。9例切口感染均为表浅切口感染，无深部切口感染，其余47例SSI均为颅内感染，即器官腔隙感染。两组患者SSI发病率比较，差异无统计学意义（P＞0.05）。结论Ⅰ级和Ⅱ级两种不同洁净度的手术间对神经外科颅脑手术患者SSI无直接影响，应采取综合防控措施预防SSI的发生。

关键词:

洁净度; 神经外科; 手术部位感染; 颅脑手术

Abstract:

ObjectiveTo study the effect of operating rooms of two different cleanliness on surgical site infection(SSI) in neurosurgical craniocerebral operation, provide reference for the prevention and control of SSI.MethodsNeurosurgical craniocerebral operation undertaking in grade I and II operating rooms in a hospital between July 2015 and July 2016 was performed retrospective study, patients in grade I operating rooms were as control group and those in grade II operating rooms were as trial group, occurrence of SSI was compared between two groups of patients.ResultsA total of 454 patients undergoing craniocerebral operation were investigated, 212 patients were in control group (grade I operating rooms) and 242 in trial group (grade II operating rooms). Patients in control group had 25 cases of SSI, incidence of SSI was 11.79%; trial group had 31 cases of SSI, incidence of SSI was 12.81%. Nine cases of SSI were superficial incision infection, there was no deep incision infection, the other 47 cases of SSI were intracranial infection(organ space infection). There was no significant difference in the incidence of SSI between two groups of patients(P>0.05).ConclusionGrade I and II cleanliness operating rooms have no direct effect on SSI in patients undergoing neurosurgical craniocerebral operation, comprehensive prevention and control measures should be taken to prevent the occurrence of SSI.

Key words:

cleanliness; neurosurgery; surgical site infection; craniocerebral operation