急诊冠脉介入术后使用低分子肝素钠腹壁皮下注射局部并发症的护理探讨．

Nursing Exploration on Local Complications Using Low Molecular Heparin Sodium of Abdominal Subcutaneous Injection after Operation of Emergency Percutaneous Coronary Intervention

目的：探讨急诊冠脉介入（PCI）术后使用低分子肝素钠腹壁皮下注射引起的局部并发症的护理措施。方法：将80例急诊行PCI术后患者随机分为斜行注射法组和垂直注射法组，分别采用斜行注射法和垂直注射法进行腹壁皮下注射低分子肝素钠，注射后12h评估局部反应，观察记录后将所得数据进行统计学处理。结果：斜行注射法的局部并发症发生率低于垂直注射法（P〈0．05）。结论：对于急性心肌梗塞，急诊PCI术后患者使用低分子肝素钠腹壁皮下注射，斜行注射法可以大大减少局部皮下出血、瘀斑、血肿硬结及腹直肌大血肿等并发症的发生。

Objective： To investigate the nursing management of local complications using low molecular heparin sodium ot abdomi nal subcutaneous injection after operation of emergency percutaneous coronary intervention （PCI）. Methods： 80 cases of postopera tive patients with emergency PCI were randomly divided into oblique injection group and vertical injection group, oblique injection and vertical injection were respectively used for abdominal subcutaneous injection with low molecular weight heparin, to evaluate lo cal reaction, observe and record the data for statistic processing after injection of 12h. Results： The incidence of local complications with oblique injection were lower than those with vertical injection （P〈0.05）. Conclusion： For patients with acute myocardial infarc tion, using low molecular heparin sodium of abdominal subcutaneous injection after operation of emergency PCI, oblique injection method can greatly reduce the subcutaneous hemorrhage, ecchymosis, hematoma induration, large hematoma of rectus abdominis and other complications.