冠状动脉介入治疗术后改良皮下注射低分子肝素方法的研究.pdfVIP

· 14· 中国实用护理杂志2008年1月11日第24卷第1期中旬版 Chin J Prac Nurs，January 1lth 2008，V01．24，N0．1B · 内科 护 理 · 冠状动脉介入治疗术后改良皮下注射 低分子肝素方法的研究 李海燕 朱秀琴 刘芳 马丹丹 李建 齐妍 【摘要】 目的 研究经皮冠状动脉介入治疗术(PCI)治疗术后皮下注射低分子肝素减轻局部并 发症的方法。方法 随机选取135例住院行PCI后接受低分子肝素皮下注射的患者，采取在患者腹 部两侧用2种方法注射的自身对照法，右侧使用常规注射法，左侧使用改良注射法，每例患者腹部两 侧各皮下注射了4次，2种方法交替使用，各完成540针次，比较2种注射方法注射部位出血发生率、 出血程度、注射疼痛感、皮下硬结发生率。结果 与常规注射组比较，改良注射组出血和疼痛发生率 低，差异有统计学意义，P0．01；同时出血和疼痛程度轻，差异有统计学意义，P0．O1；皮下硬结发生 率明显低于常规注射组，差异有统计学意义，P0．O1。结论 改良式注射法可以明显减少注射部位 皮下出血程度、皮下硬结形成，减轻注射部位的疼痛程度及减少不良并发症，因此值得在临床上推广 应用。 【关键词】皮下注射；低分子肝素；经皮冠状动脉介入术；并发症 Rearch in the modified subcutaneous injection method of low molecular weight heparin after per- cutaneous coronary intervention LI Hai-yan，ZHU Xiu—qin，LIU Fang,MA Dan—dan，LI Jian,QI Yan． Be~iing 100853，China [Abstracq Objective To study the subcutaneous injection method of low molecular weight hepafin after percutaneous coronary intervention(PCI)to alleviate local complications．Methods We randomly selected 135 patients who should receive subcutaneous injection of low molecular weight heparin after PCI． We use two injection methods on the two sides of the abdomen separately and alternately，one is the roU— fine injection method and the other is the modified injection method．The total injection times is 540．We compared the rate and degree of hemorrhage，degree of pain and subcutaneous callosity between the two methods． Results The rate and degree of hemorrhage and rate of subcutaneous callosity are statistically lower with the modified method than with the routine method(P0．O1)．Conclusion The modified in— jection method can lower the rate and degree of subcutaneous hemorrhage and pain and formation of sub— cutaneous callosity and is woflh spreading in clinical application． 【Key words] Subcutaneous injection；Low molecular weight heparin；Percutaneous coronary inter- venfion；Complication 近年来，大