初探肌内注射方法的改良

A Comparative Study of Two Common Intramuscular Injection Techniques

目的:通过对国内常规肌内注射法与欧洲等国家常用的Z-径路肌内注射法所致注射后不良反应发生率的对比研究,为临床肌内注射方法提供依据。方法:2004年2月至2007年2月接受肌内注射治疗的病人356例,采用自身对照法,每位病人分别在两侧臀大肌交替使用常规肌内注射法和Z-径路肌内注射法(以下简称Z-法)给药,观察并记录注射后不良反应发生情况。结果:无论是常规肌内注射法还是Z-法,都有注射后不良反应发生,但是发生率差异具有显著性,Z-法不良反应发生率更低。结论Z-法较常规肌内注射法所致注射后不良反应发生率低,相关并发症少,药物利用度高,推荐临床使用。

Objective To make a comparative study of two intramuscular injection techniques commonly used at home and abroad in order to identify the preferable technique to be used in clinical nursing practice. Methods Three hundreds and fifty-six in-patients who needed intramuscular injection were composed in this comparative study. Every subject received routine and Z-track method intramuscular injection at opposite side of gluteal muscles. Each reaction of two methods injection was observed and registered. Results Whatever routine method or Z-traek method, both of them have side effects. The difference was more significant in the patients. Conclusion Z-track intramuscular injection is superior than the routine intramuscular injection .It is suggested that this technique should be widely used in clinical nursing practice.