摘要
目的探讨黄体酮采用Z径路肌内注射法的效果。方法选择200例先兆流产需使用黄体酮肌内注射治疗的患者,随机分为两组各100例。对照组采用常规肌内注射法;改良组采用Z径路肌内注射法,于注射前以左手食指、中指和无名指使待注射部位皮肤及皮下组织朝同一方向侧移(皮肤侧移1～2 cm左右),然后以左手拇指朝同一方向绷紧固定局部皮肤,维持到拔针后,迅速松开左手,此时侧移的皮肤和皮下组织位置还原,原先垂直的针刺通道随即变成Z型。观察两组患者7 d内药(血)液渗出及皮下硬结发生情况。结果改良组药(血)液渗出及皮下硬结发生率明显低于对照组(P<0.05)。结论Z径路肌内注射法在黄体酮治疗中能有效减少黄体酮外渗及局部硬结形成,保证黄体酮剂量的准确,减少患者的痛苦。
Objective To evaluate the effect of Z-track intramuscular injection of progesterone.Methods A total of 200 subjects with threatened abortion in need of progesterone injection were randomly divided in equal number into control group receiving conventional normal intramuscular injection and improvement group receiving Z-track intramuscular injection.Drugs（blood） exudation and the occurrence of subcutaneous nodules within 7 days were noted.Results The incidences of drugs（blood） fluid exudation and subcutaneous nodules in the improvement group were significantly lower than those in the control group（P〈0.05）.Conclusion Z-track intramuscular injection of progesterone is effective in reducing exudation of progesterone and subcutaneous nodules,accurate dose of progesterone,and pain alleviation.
出处
《护理学报》
2010年第10期49-50,共2页
Journal of Nursing（China）
关键词
黄体酮
Z径路肌内注射法
药液渗出
皮下硬结
护理
progesterone
Z-track intramuscular injection
drug exudation
subcutaneous nodule
nursing care
