Risk factors and nursing of intracranial infection among children after fourth ventricle tumor resection
10.3760/cma.j.issn.1674-2907.2019.09.017
- VernacularTitle:第四脑室肿瘤切除术后患儿颅内感染的危险因素分析及护理干预
- Author:
Jing MA
1
;
Qian LI
;
Yanzhu FAN
Author Information
1. 首都医科大学附属北京天坛医院神经外科
- Keywords:
Brain neoplasms;
Fourth ventricle;
Child;
Intracranial infection;
Risk factors;
Nursing intervention
- From:
Chinese Journal of Modern Nursing
2019;25(9):1134-1138
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To analyze the risk factors of intracranial infection among children after fourth ventricle tumor resection and to summarize the effective nursing intervention. Methods? Retrospective analysis was carried out in 153 children with fourth ventricle tumor in neurosurgery at Beijing Tiantan Hospital of Capital Medical University from June 2013 to June 2017. All of the children were divided into infection group (n=45) and non-infection group (n=108) according to whether complicated with intracranial infection after surgery. From nursing viewpoint, we compared the differences in related factors of children with fourth ventricle tumor resection between two groups before, during and after surgery. Logistic regression was used to analyze the risk factors of intracranial infection. Results? Single factor analysis showed there were statistical differences in the hospital day before surgery ＞ 5 days (χ2=5.418, P=0.020), operative time ≥4 hours (χ2=4.189, P=0.041) and subcutaneous hydrops (χ2=4.452, P=0.049) among children between two groups. However, there were no statistical differences in ages, types of tumor, diameter of tumor, remains after tumor resection, adhesion between tumor and fourth ventricle, operative season, history of brain surgery, distributary of ventriculoperitoneal before surgery, setting external drainage, hypoalbuminemia and usage of glucocorticoid after surgery (P＞ 0.05). Logistic regression analysis showed that the risk factors influencing intracranial infection of children after fourth ventricle tumor resection included the hospital day before surgery＞ 5 days (OR=4.340, P=0.010) and subcutaneous hydrops (OR=9.169,P=0.011). Conclusions? Hospital day before surgery ＞ 5 days and subcutaneous hydrops can increase the incidence of intracranial infection among children after fourth ventricle tumor resection. Medical staff should improve their cognition on risk factors of infection among children after fourth ventricle tumor resection and take targeted nursing intervention.
