腹壁注射低分子肝素钠后是否按压与皮下出血关系的研究  

Research the relationship of abdominal injection of low molecular heparin and subcutaneous hemorrhage after pressing

作　　者：刘巧云[1] 孙蕊[1] 吴国辉[1] 

机构地区：[1]北京大学首钢医院心内科,100041

出　　处：《护理实践与研究》2012年第16期23-24,共2页Nursing Practice and Research

摘　　要：目的:探讨腹壁注射低分子肝素钠后是否按压与皮下出血的关系。方法:对72例冠心病患者进行自身对照研究,每12 h腹壁皮下注射1次低分子肝素钠注射液6400 IU,同一患者8∶00注射后不按压,20∶00注射后按压3 min,注射后12 h测量皮下出血面积,比较两种方法差异。结果:72例患者共接受腹壁皮下注射569次,不按压283次,按压3 min 286次,共有4例患者出现皮下出血,两种方法比较差异无统计学意义(P>0.05)。结论:低分子肝素钠注射后不按压与按压3 min效果相同,临床建议注射后不按压,在不增加皮下出血发生率的同时,减轻了护士不必要的工作量。Objective：To investigate the relationship between local pressing or not after abdominal subcutaneous injection of low molecular weight heparin sodium（LMWH） and local subcutaneous hemorrhage.Methods：The study adopted self-control design.72 patients did not receive local pressing after injection at 8∶ 00,and receive local pressing for three minutes at 20∶ 00.We evaluated the size of local subcutaneous hemorrhage after 12 hours each injection and compare the difference by both methods.Results：72 patients were undergone 569 times abdominal injection,of which 286 times were local pressing for 3 minutes and 283 times were not local pressing.Four patients occurred subcutaneous hemorrhage,there were no significantly difference between two methods（P0.05）.Conclusion：abdominal injection of LMWH without local pressing did not increase incidence of subcutaneous hemorrhage,and reduce unnecessary job of nurses.

关 键 词：低分子肝素钠 腹壁注射 皮下出血 

分 类 号：R472[医药卫生—护理学]