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时间:2020-05-24
《皮下注射低分子肝素局部压迫时间与皮下出血关系的研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、临京医学工程2014年9月第21卷第9期·1l87··论著·(护理研究)皮下注射低分子肝素局部压迫时间与皮下出血关系的研究洪蕾(安徽省立医院,安徽合肥230001)【摘要】目的探讨皮下注射低分子肝素后局部压迫时间的长短与皮下出血发生率及出血面积的关系,以期找到合适的压迫时间。方法选取我院2013年5月至7月期间收治的下肢深静脉血栓患者为研究对象.共90例,其中60例采用三角肌皮下注射,30例采用腹壁注射。将每例患者的14次皮下注射根据局部压迫时间的长短每2次记为1组,每组压迫时间分别为:1、2、3、4、5、6、7min。12h后统计记录注射
2、局部的皮下出血情况。结果压迫时间与出血率的关系比较:随着压迫时间的延长,两组的皮下出血率均降低:压迫时间为4min纽和5rain组比较有统计学差异(尸<0.05),其他相邻组比较无统计学意义。压迫时间与出血面积的关系比较:压迫时间为3min组和4min组比较有统计学差异(P<0.05),其他相邻组比较无统计学意义。结论皮下注射低分子肝素后局部压迫5min.可以显著降低皮下出血和大出血的发生率。【关键词】皮下注射;低分子肝素;按压时间;皮下出血中图分类号:R473.5文献标识码:Adoi:10.3969~.issn.1674—4659.201
3、4.09.1187ResearchoftheRelationshipBetweenLocalCompressionTimeandSubcutaneousHemorrhageAfterLowMolecularWeightHeparinSubcutaneousInjection日ONGLe砌uiProvincialHospital,t-lefei230001,C【Abstract】ObjectiveToinvestigatetherelationshipbetweenlocalcompressiontimeandtheincidenceands
4、izeofsubcutaneoushemorrhageafterlowmolecularweightheparinsubcutaneousinjection,inordertofindasuitablecompressiontime.Methods90casesofpatientswithdeepveinthrombosistreatedinollrhospitalfromMay2013toJuly2013wereselected.60casesweregivendeltoidsubcutaneousinjection,while30cas
5、esweregivenabdominalwallinjection.Everysecondofpatients’14subcutaneousinjectionwastakenasagroupaccordingtothelengthoflocalcompressiontime.Thecompressiontimeofeverygroupwas1,2,3,4,5,6,7min.Theconditionofsubcutaneoushemorrhageattheinjectionsiteafter12hwasrecorded.ResultsTher
6、elationshipbetweentimeandbleedingratewasthatwiththeextensionofthecompressiontime,subcutaneousbleedingratesofthetwogroupsdecreased;compressiontimeof4minand5mingrouphadstatisticallysignificantdifference(P7、dbleedingsizewasthatcompressiontimeof4minand5mingrouphadstatisticallysignificantdifference<0.05),otheradjacentgrouphadn't.ConclusionsLocaloppressed5minafterlowmolecularweightheparinsubcutaneousinjectionCansignificantlyreducetheincidenceofsubcutaneoushemorrhageandmassivehem8、orrhage.[Keywords】Subcutaneousinjection;Lowmolecularweightheparin;Presstime;Subcutaneoush
7、dbleedingsizewasthatcompressiontimeof4minand5mingrouphadstatisticallysignificantdifference<0.05),otheradjacentgrouphadn't.ConclusionsLocaloppressed5minafterlowmolecularweightheparinsubcutaneousinjectionCansignificantlyreducetheincidenceofsubcutaneoushemorrhageandmassivehem
8、orrhage.[Keywords】Subcutaneousinjection;Lowmolecularweightheparin;Presstime;Subcutaneoush
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