妇科开腹术后患者不同部位皮下注射达肝素钠注射液的临床观察

Clinical Observation of Subcutaneous Injection of Daheparin Sodium in Different Parts of Patients after Gynecological Laparotomy

目的:比较术后不同部位皮下注射达肝素钠注射液对妇科开腹手术患者注射部位及手术腹部切口皮下出血、疼痛及患者满意度的影响。方法:随机选择2018年6月-2019年1月在笔者所在医院妇科住院开腹手术患者111例,按随机数字表法分为对照组55例,观察组56例。对照组采用上臂三角肌下缘皮下注射达肝素钠注射液5 000 IU,观察组选择腹壁皮下注射达肝素钠注射液5 000 IU,两组按压时间5~10 min。观察两组患者注射部位及手术腹部切口皮下出血、疼痛及患者满意度情况。结果:观察组患者注射部位皮下无出血率明显高于对照组,差异有统计学意义(P<0.05)。两组患者手术切口部位各出血程度比较,差异均无统计学意义(P>0.05)。观察组患者无痛率高于对照组,轻度疼痛率低于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度评分高于对照组,差异有统计学意义(P<0.01)。结论:腹部皮下注射达肝素钠注射液能降低患者注射部位出血率,减轻疼痛,提高患者满意度。

Objective: To compare the effects of postoperative subcutaneous injection of Daheparin Sodium Injection on subcutaneous hemorrhage at injection site and abdominal incision, pain and patients’ satisfaction in patients undergoing gynecological laparotomy. Method: A total of 111 patients with gynecological open surgery in our hospital from June 2018 to January 2019 were randomly selected and divided into control group(55 cases) and observation group(56 cases) according to random number table method. In the control group, Daheparin Sodium Injection 5 000 IU was injected subcutaneously on the lower edge of the upper arm deltoid muscle. The observation group received abdominal subcutaneous injection of Daheparin Sodium Injection 5 000 IU. Both groups were pressed for 10 minutes. The subcutaneous hemorrhage at injection site and abdominal incision, pain, and the patients’ satisfaction of the two groups were observed. Result: The rate of no subcutaneous hemorrhage at the injection site in the observation group was significantly higher than that in the control group, the difference was statistically significant(P<0.05). There were no significant differences in the degree of bleeding at the incision site between the two control group(P>0.05). The painless rate of the observation group was higher than that of the control group, and the mild pain rate was lower than that of the control group, the differences were statistically significant(P<0.05). The score of nursing satisfaction in the observation group was higher than that in the control group, the difference was statistically significant(P<0.01). Conclusion: Abdominal subcutaneous injection can reduce the bleeding rate of injection site, relieve pain and improve patients’ nursing satisfaction.