不同注射方案对苄星青霉素臀大肌肌肉注射疼痛的影响对比护理研究.doc

修改意见：1. 文章里写注射利多卡因这种药不行?没注射过?看能不能把利多卡因改成盐水 不同注射方案对苄星青霉素臀大肌肌肉注射疼痛的影响对比护理研究 【摘要】目的：探讨不同注射护理方案对苄星青霉素臀大肌肌肉注射疼痛的影响。 方法：选取84例细菌感染患者，随机进行分组；对照组采取注射前针头保留苄星青霉素，进针位置于髂前上棘与尾骨连线的外上1/3处；而观察组采取注射前针头保留0.9%生理盐水溶液，进针位置于髂前上棘与尾骨连线的外上1/4处。结果：观察组患者的一次性成功注射率为92.86%（39例），对照组患者的一次性成功注射率为66.67%（28例）；两组数据具有统计学差异（χ2＝8.746，P＜0.05）；观察组患者的疼痛VAS评分为0.74±0.24，对照组的疼痛VAS评分3.67±0.78；两组数据具有统计学差异（t=14.76，P＜0.05）；观察组患者的并发症发生率为7.14%，对照组患者的并发症发生率为16.67%；两组数据具有统计学差异（χ2＝0.029，P＜0.05）。结论：采用利多卡因诱导苄星青霉素臀大肌肌肉注射，选择髂前上棘与尾骨连线的外上1/4处进针可显著提高一次性注射成功率，减轻患者的疼痛应激，具有临床可行性。 【关键词】注射方案；苄星青霉素；注射；疼痛 【Abstract】Objective:To study the different injection nursing plan injection of benzathine penicillin glutes muscle pain.Methods: Choose 84 cases of patients with bacterial infections, random grouping;Control group take before injection needle retention benzathine penicillin, the needle position prior to the iliac spine and coccyx cords on the outside of a third place;And observation group take before injection needle retention, lidocaine solution into the needle position prior to the iliac spine and coccyx cords on the outside of a quarter.Results: Observation group of patients with one-time success rate was 92.86% (39 cases) injection, control group patients of one-time success rate was 66.67% (28 cases) injection;Two groups of data statistically difference (χ2= 8.746, P0.05);Observation group of patients with pain VAS score was 0.74±0.24, the control of pain VAS score was 3.67±0.78;Two groups of data are statistically difference (t = 14.76, P0.05).Conclusion: using lidocaine induced glutes intramuscular benzathine penicillin, before choosing iliac spine and coccyx cords on the outside of the needle into the 1/4 can significantly improve the success rate of one-time injection and reduce pain in patients with stress, have clinical feasibility. 【key words】 injection scheme;Benzathine penicillin;Injection;The pain 近年来，臀大肌肌肉注射抗生素治疗细菌感染广泛适用于临床治疗，对于防止细菌感染，提高治疗安全性具有重要作用。苄星青霉素作为长效的抗生素，通过抑制细胞细胞壁的合成，而使细菌裂解死亡，从而达到抗细菌感染的治疗效果[1]。由于苄星青霉素剂型的限制，在