探讨早期护理干预对减少罂粟碱肌内注射致肌肉硬结发生的影响  

Investigation of influence by early nursing intervention on reducing papaverine intramuscular injection-induced muscle scleroma

作　　者：李凤仪 王自当 王小陆 LI Feng-yi;WANG Zi-dang;WANG Xiao-lu(Dongguan Shipai People’s Hospital,Dongguan 523330, China)

机构地区：[1]东莞石排人民医院,523330

出　　处：《中国现代药物应用》2017年第5期151-153,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨早期护理干预对减少罂粟碱肌内注射致肌肉硬结发生的影响。方法 36例断指再植术患者,随机分为观察组与对照组,各18例。对照组采用常规护理,观察组采用早期护理措施进行干预。比较两组患者注射部位疼痛程度和注射部位的硬结程度。结果观察组无痛10例、轻度疼痛6例、中度疼痛2例、重度疼痛0例,对照组无痛3例、轻度疼痛1例、中度疼痛8例、重度疼痛6例,观察组疼痛程度明显低于对照组,差异具有统计学意义(P<0.05)。观察组无硬结9例、轻度硬结6例、中度硬结3例、重度硬结0例,对照组无硬结3例、轻度硬结0例、中度硬结9例、重度硬结6例,观察组硬结程度明显轻于对照组,差异具有统计学意义(P<0.05)。结论早期护理干预对减少罂粟碱肌内注射致肌肉硬结发生具有积极的作用,有效地缓解患者注射部位的疼痛感,减少硬结的发生,效果显著,值得推广。Objective To investigate influence by early nursing intervention on reducing papaverine intramuscular injection-induced muscle scleroma. Methods A total of 36 patients in severed finger replantation were randomly divided into observation group and control group, with 18 cases in each group. The control group received conventional nursing, and the observation group received early nursing measures for intervention.Comparison was made on pain degree and scleroma degree in injection area between the two groups. Results There were 10 cases without pain, 6 cases with mild pain, 2 cases with moderate pain and 0 case with severe pain in the observation group. There were 3 cases without pain, 1 case with mild pain, 8 cases with moderate pain and 6 cases with severe pain in the control group. The observation group had obviously lower pain degree than the control group, and their difference had statistical significance (P<0.05). There were 9 cases without scleroma, 6 cases with mild scleroma, 3 cases with moderate scleroma and 0 case with severe scleroma in the observation group. There were 3 cases without scleroma, 0 case with mild scleroma, 9 cases with moderate scleroma and 6 cases with severe scleroma in the control group. The observation group had much lower scleroma degree than the control group, and the difference had statistical significance (P<0.05). Conclusion Early nursing intervention shows positive effect in reducing papaverine intramuscular injection-induced muscle scleroma. This method can effectively relieve pain degree in injection area and reduce occurrence of scleroma, along with excellent effect. It is worth promoting.

关 键 词：罂粟碱 肌内注射 肌肉硬结 早期护理 护理效果 

分 类 号：R472[医药卫生—护理学]