浅谈腹部垂直皮下注射低分子肝素与传统注射法的比较(新)摘要普通肝素关键字KEYWORDSwww.themegallery.comwww.themegallery.comwww.themegallery.com关键字KEYWORDSwww.themegallery.comwww.themegallery.comwww.themegallery.comwww.themegallery.comwww.themegallery.com关键字KEYWORDSwww.themegallery.comwww.themegallery.com关键字KEYWORDSwww.themegallery.comwww.themegallery.comwww.themegallery.com21www.themegallery.comwww.themegallery.comConclusion:Improvedsubcutaneousinjectionmethodofenoxaparincanobviouslyreducetheincidenceofbleedingandthesubcutaneousscleroma,andreducethedegreeofpainintheinjectionsite.Itisworthbeingusedclinically.结论：通过改良皮下注射法可明显减少注射部位皮下出血、皮下硬结形成及注射部位的疼痛程度，值得临床推广应用。［１］SamamaMM，DesnoyersPC．Low－molecular－weightheparins：Biochemistryandpharmacology．InSasaharaAA，LoscalzoJ（eds）：NewTherapeuticAgentsinThrombosisandThrombolysis．［J］NewYork：MarcelDekker，１９９７：８７－１０２［２］HarenbergJ．Pharmacologyoflowmolecularweightheparins［J］．SeminThrombHemost１９９０；１６：１２－１８［３］WeitzJ．Low－molecular－weightheparins［J］．NEnglJMed１９９７；３３７：６８８－６９８［４］HirshJ．Heparin［J］．NEnglJMed１９９１；３２４：１５６５－１５７４[5]BarrasMA，KirkpatrickCMJ，GreenB．Currentdosingoflow—molecular—weighthepafinsdoesnotreflectlicensedproductla—bels：aninternationalsurvey[J]．BrJClinPharmaeol，2010，69(5)：520—528．[6]李小寒，尚少梅．基础护理学[M]．北京：人民卫生出版社，2012：340．341．[7]AnnerstenM，WillmanA．Performingsubcutaneousinjections：aliteraturereview[J]．WorldviewsEvidBasedNurs，2005，2(3)：122一130.[8]deCamposJDF，daSilvaJB，BeckARM，eta1．Subcutaneousadministrationtechniqueoflow·molecular—weighthepafins：Anintegrativereview[J]．ClinNursStud，2013，1(4)：36-44．[9]FahsloS，KinneyMR．Theabdomen，thighandalTOassitesforsubcutaneoussodiumheparininjections[J]．NursRes，1991，40[10]HunterJ．Subcutaneousinjectiontechnique[J]．NursingStan—dard，2008，22(21)：4l一44．[11]GrayT，MillerH．Injectiontechnique[J]．TheFoundationYears，2008．4(6)：252-255．『12]焦呖，陈景侠，孙友芳，等．低分子肝素钙皮下注射法的改良与研究fJ]．中华全科医学，2012，tO(12)：1975—1976．[13]李淑珍，陈爱兰，岳焕菊．不同方法皮下注射低分子肝素对患者疼痛感的影响[J]．国际护理学杂志，2013，32(t)：197—198．『14]PaleseA，AidoneE，DanteA，eta1．Oc