腹壁注射低分子肝素钙改良方法效果分析.docVIP

精品论文 参考文献 腹壁注射低分子肝素钙改良方法效果分析 孙伟红 杨增云 　　临沂市沂水中心医院ICU 山东临沂 276400 　　摘要：目的：探讨腹壁注射低分子肝素钙改良方法对急性冠脉综合征患者皮下出血、硬结面积、疼痛程度及满意度的影响。方法：选择急性冠脉综合征的患者60例，按随机数字表法分为对照组和试验组各30例，两组各注射420例次，试验组采用改良后的注射方法，对照组采用传统的注射方法，试验结束后比较两组患者皮下出血、硬结面积、疼痛程度及满意程度。结果：与对照组比较，试验组患者皮下出血、硬结面积明显减少，疼痛程度显著降低，患者的满意程度有所提高，差异有统计学意义（P＜0.05）。结论：采用改良后的方法注射低分子肝素钙减少了皮下出血和硬结例次，降低了疼痛程度，提高了病人的满意度，可以广泛应用于临床实践。 　　关键词：低分子肝素钙；改良注射；皮下出血；疼痛程度；满意度 　　Abstract：Objective：To investigate the abdominal injection of low molecular heparin calcium modified methods syndrome patients with subcutaneous hemorrhage，induration area，the degree of pain and satisfaction effect in patients with acute coronary syndrome.Methods：60 cases of patients with acute coronary syndrome（ACS），were divided into the control group and the experimental group，30 cases in each group according to the random number table，420 cases in two group was injected，test group using a modified method of injection，the control group using conventional injection methods，compared two groups of patients with subcutaneous hemorrhage after the end of the trial，induration size，pain degree and degree of satisfaction.Results：compared with the control group，patients in the experimental group were subcutaneous bleeding，significantly reduced the area of induration，pain level decreased significantly，the satisfaction degree of patients improved，the difference was statistically significant（Plt;0.05）.Conclusion：using the modified method of injection of low molecular heparin calcium reduced subcutaneous bleeding and induration with time and reduce the degree of pain，improve patient satisfaction can be widely used in clinical practice. 　　Key words：low molecular weight heparin calcium；modified injection；subcutaneous bleeding；pain degree；satisfaction degree 　　低分子量肝素钙（LMWH）是由肝素（SH）分离或降解而来的一种糖胺聚糖，具有抗凝作用强，半衰期长，对部分凝血活酶时间（KPTT）、凝血酶时间（TT）影响小、生物利用度高，不需要实验室监测，疗效可靠的优点，可视为治疗急性冠脉综合征有效、安全、方便的治疗药物[1]。但临床上由于注射方法不正确，易引起皮下出血，造成患者局部疼痛，较大面积的出血和血肿可使患者产生紧张心理，对护士产生不信任感和不满，还影响药物吸收而影响治疗效果，有文献证实：传统规范操作下注射低分子肝素皮下注射致