网状轮换定位卡在腹部手术磺达肝癸钠皮下注射中的应用价值

Application value of abdominal reticular rotation positioning card for subcutaneous injection of fondaparinux sodium in abdominal surgery

目的探讨网状轮换定位卡在腹部手术磺达肝癸钠皮下注射中的应用价值。方法采用回顾性队列研究方法。收集2019年4—10月南昌大学第二附属医院收治的140例腹部手术行磺达肝癸钠皮下注射患者的临床资料;男74例,女66例;年龄为(58±9)岁。140例患者中,70例行常规皮下注射,设为对照组;70例采用腹部网状轮换定位卡行皮下注射,设为试验组。观察指标:(1)皮下注射情况。(2)皮下注射后情况。正态分布的计量资料以■±s表示,组间比较采用t检验。计数资料以绝对数表示,组间比较采用χ^(2)检验。等级资料比较采用秩和检验。结果(1)皮下注射情况。两组患者皮下出血和皮下硬结情况比较,差异均有统计学意义(P<0.05)。(2)皮下注射后情况。两组患者疼痛程度和护理满意度比较,差异均有统计学意义(P<0.05)。结论与常规皮下注射比较,腹部网状轮换定位卡用于腹部手术磺达肝癸钠皮下注射,可降低患者皮下出血和皮下硬结比例,减轻患者痛苦并提高满意度。

Objective To investigate the application value of abdominal reticular rotation positioning card for subcutaneous injection of fondaparinux sodium in abdominal surgery.Methods The retrospective cohort study was conducted.The clinical data of 140 patients who underwent subcutaneous injection of fondaparinux sodium in the Second Affiliated Hospital of Nanchang University from April to October 2019 were collected.There were 74 males and 66 females,aged(58±9)years.Of the 140 patients,70 cases undergoing routine subcutaneous injection were allocated into control group,and 70 cases undergoing subcutaneous injection with abdominal reticular rotation positioning card were allocated into experimental group.Observation indicators:(1)subcutaneous injection;(2)conditions after subcutaneous injection.Measurement data with normal distribution were expressed as Mean±SD,and comparison between groups was conducted by the t test.Count data were expressed as absolute numbers,and comparison between groups was conducted using the chisquare test.Comparison of ordinal data was analyzed using the rank sum test.Results(1)Subcutaneous injection.There were significant differences in the subcutaneous bleeding and subcutaneous induration between the two groups(P<0.05).(2)Conditions after subcutaneous injection.There were significant differences in pain degree and nursing satisfaction between the two groups(P<0.05).Conclusion Compared with the conventional subcutaneous injection,the abdominal reticular rotation positioning card for subcutaneous injection of fondaparinux sodium in abdominal surgery can reduce the rate of subcutaneous bleeding and induration of the patients,relieve the pain of the patients,and improve the satisfaction.