自行设计的臀部肌肉注射定位装置在断指再植术后罂粟碱肌肉注射中的应用  

Application of self-designed hip intramuscular injection positioning device in papaverine injection after finger replantation

作　　者：旷玲玉 周望高 郑哲 魏水华 黄伟妮 谭亚茜 贺海燕 陈烨文 Kuang Lingyu;Zhou Wanggao;Zheng Zhe;Wei Shuihua;Huang Weini;Tan Yaxi;He Haiyan;Chen Yewen(Department of Hand Surgery,Shenzhen Hospital of Integrated Traditional and Western Medicine,Guangdong Province,Shenzhen 518104,China)

机构地区：[1]广东省深圳市中西医结合医院手外科,518104

出　　处：《中国实用护理杂志》2021年第24期1851-1856,共6页Chinese Journal of Practical Nursing

基　　金：深圳市宝安区医疗卫生基础研究项目(2020JD241)。

摘　　要：目的探讨自行设计的臀部肌肉注射定位装置辅助断指再植术后罂粟碱肌肉注射的临床应用效果。方法对2018年1月至2019年12月收治的216例断指再植术后使用罂粟碱抗血管痉挛的患者,按照随机数字表法分为对照组和观察组各108例,对照组按常规方法进行臀部肌肉注射,观察组使用自行设计的臀部肌肉注射定位装置辅助肌肉注射,对术后臀部硬结和淤斑的发生率、再植成活率及臀部疼痛评分进行比较。结果对照组术后出现臀部硬结76例占70.37%,出现淤斑62例占48.15%,观察组术后出现臀部硬结12例占11.11%,出现淤斑6例占5.56%,2组比较差异有统计学意义(χ^(2)值为78.545、67.307,P<0.01)。对照组断指再植成活78例占72.22%,观察组断指再植成活96例占88.89%,2组比较差异有统计学意义(χ^(2)值为11.416,P<0.01)。罂粟碱肌肉注射后对照组臀部疼痛评分,第1、2天2组比较差异无统计学意义(P>0.05),第3~7天2组比较差异均有统计学意义(t值为17.17~45.97,P<0.05)。结论使用臀部肌肉注射定位装置辅助断指再植术后罂粟碱肌肉注射能减少臀部硬结和淤斑的发生率,减轻臀部疼痛,提高患者断指再植成活率,值得临床推广应用。Objective To explore the clinical effect and nursing experience of papaverine intramuscular injection after finger replantation with self-designed hip intramuscular injection positioning device.Methods Totally 216 cases of patients treated with palavering for anti-vasospasm after of severed fingers from January 2018 to December 2019 were randomly divided into control group(108 cases)and observation group(108 cases)by random number table method.The control group received intramuscular injection of buttock muscle according to the conventional method,and the observation group used the auxiliary intramuscular injection with self-designed glutei muscle positioning device.The incidence of postoperative hip indurations and ecchymosed,survival rate of and buttock were analyzed Pain scores were compared.Results Totally 76 cases(70.37%)and 62 cases(48.15%)in the control group,12 cases(11.11%)and 6 cases(5.56%)in the observation group.The difference between the two groups was statistically significant(χ^(2)values were 78.545,67.307,P<0.01).78 cases(72.22%)survived in the control group and 96 cases(88.89%)survived in the observation group(χ^(2)value was 11.416,P<0.01).After papaverine intramuscular injection,there was no significant difference in hip pain score between the two groups on the first and second day(P>0.05),but there was significant difference between the two groups on the third to seventh day(t values were 17.17 to 45.97,P<0.05).Conclusion Palavering intramuscular injection can reduce the incidence of hip indurations and ecchymosed,relieve buttock pain and improve the survival rate of amputated finger,which is worthy of clinical application.

关 键 词：臀部 肌肉注射 断指再植 罂粟碱 护理 

分 类 号：R473.6[医药卫生—护理学]