低分子肝素注射体位对皮下出血和疼痛的影响  

Effect of subcutaneous injection of low molecular weight heparin to bleeding and pain

作　　者：曹江霞[1] 胡学捷[2] 

机构地区：[1]新疆石河子大学医学院第一附属医院急诊科,新疆石河子832008 [2]新疆石河子大学医学院第一附属医院心内一科,新疆石河子832008

出　　处：《吉林医学》2013年第4期740-741,共2页Jilin Medical Journal

摘　　要：目的:探讨低分子肝素注射体位对皮下出血和疼痛的影响。方法:将100例使用低分子肝素注射的患者随机分为试验组和对照组,每组50人,分别使用平卧位(对照组)和仰卧屈膝位(试验组)接受注射,注射后即刻评估疼痛程度,12 h后评估皮下出血发生率,进行对比,分析两种体位所得结果差异是否有统计学意义。结果:试验组的皮下出血发生率为13%,对照组的皮下出血发生率为25%,两组差异无统计学意义(P>0.05)。试验组重度疼痛发生例数较对照组低(P<0.05)。结论:仰卧屈膝位较取平卧体位疼痛程度轻,而两种体位皮下出血的发生率差异无统计学意义。Objective To study the effect of subcutaneous injection of low molecular weight heparin to bleeding and pain. Method 100 cases of patients admitted from our department were randomly divided into experimental group and control group ,50 in each group accepted the supine position （control group） and supine knee position （experimental group） for injection,and assessed the degree of pain immedi- ately after injection, the degree of subcutaneous hemorrhage after 12 hours, and compared the results of two positions if there were significant differences. Results The subcutaneous bleeding rate of experimental group was 13% ,the rate of control group was 25% ,and there was no significant difference （ P 〉 0. 05 ）. The number of cases of severe pain was lower in the experimental group than the control group （ P 〈 0. 05 ）. Conclusion Pain of supine knee position was milder than the pain of supine position ,but the incidence of subcutaneous hemorrhage of both position was no significant difference.

关 键 词：肝素 体位 皮下出血 疼痛 

分 类 号：R472[医药卫生—护理学]