不同部位皮下注射低分子肝素钙注射液对妇科复发性流产患者的临床效果研究  

The clinical effect of subcutaneous injection of low molecular weight heparin calcium injection in different parts on patients with recurrent miscarriage

作　　者：张小妹[1] 李娟[1] 胡科兵 胡瀚文 黄津伶 ZHANG Xiaomei;LI Juan;HU Kebing;HU Hanwen;HUANG Jinling(Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang,Jiangxi,330000,China)

机构地区：[1]南昌市洪都中医院,江西南昌330000

出　　处：《当代医学》2021年第24期24-26,共3页Contemporary Medicine

基　　金：江西省卫健委课题(20202016)。

摘　　要：目的探讨分析不同部位皮下注射低分子肝素钙注射液对妇科复发性流产患者的临床效果。方法选取2019年1-12月本院收治的150例复发性流产患者作为研究对象,按照患者意愿分为对照组与观察组,每组75例。对照组给予上臂三角肌下缘皮下注射低分子肝素钙注射液治疗,观察组给予距离脐周3~6 cm皮下注射低分子肝素钙注射液治疗。比较两组注射部位皮下出血情况、疼痛情况及保胎成功率。结果观察组注射部位皮下无出血率为90.66%,高于对照组的77.33%,差异有统计学意义(P<0.05);观察组轻度出血率、中度出血率、重度出血率均低于对照组,但差异无统计学意义。观察组疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组保胎成功率为96.00%,高于对照组的85.33%,差异有统计学意义(P<0.05)。结论相对于在上臂三角肌下缘皮下注射,在距离脐周3~6 cm皮下注射低分子肝素钙注射液更能有效提高复发性流产患者保胎成功率,且注射部位皮下出血情况及疼痛程度较低,有助于建立和谐的护患关系,值得临床推广应用。Objective To investigate and analyze the clinical effect of subcutaneous injection of low molecular weight heparin calcium injection in different parts of patients with recurrent miscarriage in gynecology.Methods 150 patients with recurrent miscarriage admitted to our hospital from January to December 2019 were selected as research subjects.They were divided into control group and observation group according to the wishes of the patients,with 75 cases in each group.The control group was given subcutaneous injection of low molecular weight heparin calcium injection at the lower edge of the upper arm deltoid muscle,and the observation group was given subcutaneous injection of low molecular weight heparin calcium in-jection 3-6 cm from the umbilicus.The subcutaneous bleeding,pain and the success rate of pregnancy loss at the injection site between the two groups were compared.Results The subcutaneous no bleeding rate at the injection site in the observation group was 90.66%,which was higher than 77.33%in the control group,the difference was statistically significant(P<0.05);the rates of mild bleeding,moderate bleeding and severe bleeding in the ob-servation group were lower than the control group,but the difference was not statistically significant;the pain score of the observation group was low-er than that of the control group,the difference was statistically significant(P<0.05);the success rate of pregnancy loss in the observation group was 96.00%,which was higher than 85.33%of the control group,the difference was statistically significant(P<0.05).Conclusion Compared with subcu-taneous injection at the lower edge of the upper arm deltoid muscle,subcutaneous injection of low molecular weight heparin calcium injection at a dis-tance of 3-6 cm from the umbilicus is more effective in improving the success rate of recurrent miscarriage patients,and the subcutaneous hemorrhage and pain degree at the injection site is lower,which can helps to establish harmonious nurse-patient relationship and is worthy of clinical appl

关 键 词：不同部位 皮下注射 低分子肝素钙注射液 复发性流产 

分 类 号：R714.21[医药卫生—妇产科学]