三种不同方法对苄星青霉素注射成功率和注射痛的影响.docVIP

精品论文 参考文献 三种不同方法对苄星青霉素注射成功率和注射痛的影响 黄敏 　　（雅安市中医医院手术室 四川 雅安 625000） 　　【摘要】 目的：探讨三种不同注射方法对肌肉注射苄星青霉素一次注射成功率和注射后疼痛的影响。方法：选择雅安市中医医院2014,01～2015,10门诊拟行连续肌肉注射苄星青霉素三次或三次以上的患者60例。第一次（F组）采用传统方法肌肉注射；第二次（S组）注射前采用另一注射器肌肉注射生理盐水2mL，保留注射针头不拔出，换取抽吸苄星青霉素注射器推注药物；第三次（T组）将生理盐水换为0.5%利多卡因2mL，注射方法同S组。结果：3例患者未按计划完成连续三次苄星青霉素注射退出研究，最终57例患者纳入统计学分析。F组、S组、T组一次成功率分别为33.3%、98.2%、100%，S组和T组注射一次成功率显著高于F组（P＜0.05)，S组和T组注射一次成功率差异无统计学意义（P＞0.05)。S组和F组各时间点注射疼痛评分无显著差异（P＞0.05），T组各时间点静息和活动VAS评分均显著低于S组和F组（P＜0.05）。结论：采用预先推注适当溶液后保留注射针头，再换取抽吸苄星青霉素注射器推注药物的方法能显著提高苄星青霉素一次注射成功率；选择0.5%利多卡因为预注射溶液能够显著降低苄星青霉素注射痛。 　　【关键词】 苄星青霉素；注射；成功率；注射痛 　　【中图分类号】R472.9 【文献标识码】B 【文章编号】2095-1752（2016）13-0274-02 　　Effect on Injection Pain and Injection Success Rate of Benzathine Penicillin by Three Different Methods Huang Min. 　　Operation Room，Yaan Hospital of Traditional Chinese Medicine, Yaan, Sichuan, 625000, China. 　　【Abstract】Objective To investigate the effect on injection pain and injection success rate of benzathine penicillin by three different methods. Methods From January 2014 to December 2015, 60 outpatients that would accept three or more intramuscular benzathine penicillin were recruited. In the first time (group F), traditional method was performed in all patients. When the second injection time (group S), 2mL saline was injected using another syringe and needle would not be pulled out, the syringe containing benzathine penicillin was connected with the needle previously reserved and then the liquid was injected. The last time(group T), the saline was instead of 0.5% lidovacaine. Results 57 patients were enrolled in the statistical analysis. The injection success rate of the first time were 33.3%, 98.2%, 100% in F, S and Tgroup, respectively, group S and T were significantly increased than group F (P lt;0.05). The resting and activity VAS scores in T group were significantly lower than S group and F group at each time point (P lt;0.05). Conclusion Improved methods can significantly