[1]李 燕,许秀芳,吴小艳,等.低分子肝素两种皮下注射方法不良反应的对照研究 [J].介入放射学杂志,2018,27(01):83-86.
 LI Yan,XU xiufang,WU xiaoyan,et al.Adverse reactions of subcutaneous injection of low molecular weight heparin: a comparative study between two injection methods[J].journal interventional radiology,2018,27(01):83-86.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年01期
页码:
83-86
栏目:
护理论坛
出版日期:
2018-01-25

文章信息/Info

Title:
Adverse reactions of subcutaneous injection of low molecular weight heparin: a comparative study between two injection methods
作者:
李 燕 许秀芳 吴小艳 尹媛媛 李晓梅 陈婷婷 黄 昊 SUTEDJO Janesya 顾建平
Author(s):
LI Yan XU xiufang WU xiaoyan YIN Yuanyuan LI Xiaomei CHEN Tingting HUANG Hao SUTEDJO Janesya GU Jianping
Department of Vascular Intervention, Affiliated Nanjing Hospital, Nanjing Medical University, Nanjing, Jiangsu Province 210006, China
关键词:
【关键词】 低分子肝素 皮下注射 不良反应
文献标志码:
A
摘要:
【目的】 比较低分子肝素两种皮下注射方法后瘀斑、硬结发生率及疼痛程度,以探讨最佳的皮下注射方法,为规范护理流程提供依据。方法 纳入2016年3-9月接受皮下注射低分子肝素123例患者,采用自身对照法,每例患者分别接受2种不同皮下注射方法:实验侧(患者左侧腹部):缓慢推注时间为10 s,停留10 s之后拔针,不按压;对照侧(患者右侧腹部):缓慢推注时间为10 s,注射后即拔针,拔针后按压3 min。注射后2、12 h采用视觉模拟评分(VAS)评价注射局部疼痛程度;观察两种方法所致皮下瘀斑和硬结的发生率。结果 实验侧VAS疼痛评分2、12 h(0.88±0.66,0.34±0.47),均低于对照侧(2.02±0.65,1.19±0.63),P<0.05;两组皮下注射不良反应发生率比较:实验侧瘀斑(10.5%)低于对照侧瘀斑发生率(23.5%),t=2.736,P<0.05;实验侧硬结发生率(0.04%)低于对照侧硬结发生率(15.4%),t=2.946,P<0.05。结论 低分子肝素皮下注射持续推注时间10 s,停留10 s,拔针后不按压的方法,可减少患者皮下瘀斑、硬结的发生率及减轻疼痛的程度。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2017-01-19)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-01-26