国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2009年
1期
132-134
,共3页
傅承桦%车平杰%赛海芳%邢庆华
傅承樺%車平傑%賽海芳%邢慶華
부승화%차평걸%새해방%형경화
三七儿茶散%皮下注射%低分子肝素钠%皮下出血
三七兒茶散%皮下註射%低分子肝素鈉%皮下齣血
삼칠인다산%피하주사%저분자간소납%피하출혈
Sanqiereha spread%Subcutaneous injection%Low molecular weight heparin%Subcutaneous hemorrhage
目的 探讨三七儿茶散防治因注射低分子肝素钠致皮下出血、瘀血的效果.方法 随机抽取皮下注射低分子肝素钠治疗者40例,随机分为4组,1～3组注射后均采用三七儿茶散按压针眼,按压时间分别为1 min、2 min、3 min.4组应用普通棉签按压3 min.每例注射14次,共560次.观察记录皮下出血例次及出血面积.将出血面积≥2 cm×2 cm者,随机分为治疗组和对照组.治疗组用三七儿茶散外敷,对照组采用自然消散法.结果 采用三七儿茶散按压针眼预防皮下出血,1、2、3组间比较,无显著性差异(P＞0.05).1、2、3组与4组比较,差异有显著性(x2=17.67,P＜0.01).治疗组与对照组皮下出血治疗吸收情况比较,差异有显著性(x2=8.71,P＜0.05).两组平均治愈天数比较,差异有极显著性(t=18.75,P＜0.001).结论 三七儿茶散可防治注射低分子肝素钠致皮下出血、瘀血,可有效地解除病人的痛苦,消除紧张心理,有利于治疗康复.
目的 探討三七兒茶散防治因註射低分子肝素鈉緻皮下齣血、瘀血的效果.方法 隨機抽取皮下註射低分子肝素鈉治療者40例,隨機分為4組,1～3組註射後均採用三七兒茶散按壓針眼,按壓時間分彆為1 min、2 min、3 min.4組應用普通棉籤按壓3 min.每例註射14次,共560次.觀察記錄皮下齣血例次及齣血麵積.將齣血麵積≥2 cm×2 cm者,隨機分為治療組和對照組.治療組用三七兒茶散外敷,對照組採用自然消散法.結果 採用三七兒茶散按壓針眼預防皮下齣血,1、2、3組間比較,無顯著性差異(P＞0.05).1、2、3組與4組比較,差異有顯著性(x2=17.67,P＜0.01).治療組與對照組皮下齣血治療吸收情況比較,差異有顯著性(x2=8.71,P＜0.05).兩組平均治愈天數比較,差異有極顯著性(t=18.75,P＜0.001).結論 三七兒茶散可防治註射低分子肝素鈉緻皮下齣血、瘀血,可有效地解除病人的痛苦,消除緊張心理,有利于治療康複.
목적 탐토삼칠인다산방치인주사저분자간소납치피하출혈、어혈적효과.방법 수궤추취피하주사저분자간소납치료자40례,수궤분위4조,1～3조주사후균채용삼칠인다산안압침안,안압시간분별위1 min、2 min、3 min.4조응용보통면첨안압3 min.매례주사14차,공560차.관찰기록피하출혈례차급출혈면적.장출혈면적≥2 cm×2 cm자,수궤분위치료조화대조조.치료조용삼칠인다산외부,대조조채용자연소산법.결과 채용삼칠인다산안압침안예방피하출혈,1、2、3조간비교,무현저성차이(P＞0.05).1、2、3조여4조비교,차이유현저성(x2=17.67,P＜0.01).치료조여대조조피하출혈치료흡수정황비교,차이유현저성(x2=8.71,P＜0.05).량조평균치유천수비교,차이유겁현저성(t=18.75,P＜0.001).결론 삼칠인다산가방치주사저분자간소납치피하출혈、어혈,가유효지해제병인적통고,소제긴장심리,유리우치료강복.
Objective To resolve subcutaneous hemorrhage, extravasated blood, causing a patient pain and sufferings, spirit strain, aggravate mental state burden after injecting the low molecular weight beparin (LM-WH) . Methods The patients who received LMWH for 14 times were selected. Each patient's 14 times of subcu-tanenus injection were randomized into 4 groups. 1 ～ 3 groups all adopt compound prescribe 37 spread pressing pin-prick after injecting, pressing time for a minute, 2 minutes, 3 minutes. 4 set adopts common cotton label to press for 3 minutes. The incidence and the size of subcutaneous hemorrhage were measured. The size of subcutaneous hemorrhage witch is larger than 2 cm × 2 cm is divided into treatment group and matched control group random-ly. The treatment group uses compound prescribe 37 spread external application. The matched control groups adopts a natural dissipation toothed. Results With regard to beth the incidence and the size of subcutaneous hemorrhage , there was no significantly difference inl, 2 , 3 group and there was significantly difference between 1～3 group and 4 group (x2 = 17. 67, P＜0. 01) . Compare with the matched control group , the absorption of subcutaneous hemorrhage are significantly difference (P ＜ 0. 05) in the treatment set. Conclusion Compound prescribe 37 spread can effectively reduce the incidence and the size of hemorrhage resulted from subcutaneous injection of LM-WH.
