改良留置气泡技术对肌内注射药液外渗影响的研究

doi:10.3761/j.issn.1672-9234.2021.02.013

摘要/Abstract

摘要：

目的探讨改良留置气泡技术对肌内注射药液外渗的影响。方法选取在门诊注射室进行肌内注射的患者359例,按随机数字表法将研究对象分为3组,其中试验组120例、对照一组120例、对照二组119例。试验组采用改良留置气泡技术,对照一组采用留置气泡技术,对照二组采用常规肌内注射法,观察3组患者肌内注射操作药液外渗情况。结果试验组改良留置气泡技术的药液外渗率为13.3%,低于对照一组（23.3%）和对照二组（31.1%）的药液外渗率,差异有统计学意义（ χ²=10.847,P<0.05）。结论改良留置气泡技术可降低肌内注射药液外渗的发生率,留置气泡技术操作的适宜体位为侧卧位。

关键词: 注射, 肌肉内, 留置气泡技术, 临床实践

Abstract:

Objective To explore the effects of the practice of modified indwelling bubble technique on the spillover of intramuscular injection. Methods A randomized controlled trial was adopted to select 359 patients who were injected intramuscularly in the outpatient injection room,and were divided into three groups:120 cases in the experimental group,120 cases in the control group 1,and 119 cases in the control group 2. The experimental group used modified indwelling bubble technique,the control group 1 used indwelling bubble technique,and the control group 2 used conventional intramuscular injection. The spillover situation of the intramuscular injection of the three groups of patients was observed among these three groups. Results The drug extravasation rate of the modified indwelling bubble technique in the experimental group was 13.3%,which was lower than that of the control group 1 and the control group 2（ χ²=10.847,P<0.05）. Conclusion The improved indwelling bubble technique can reduce the spillover of intramuscular injections. The suitable position for the indwelling bubble technique is the lateral position.

Key words: Injection, Intramuscular, Indwelling bubble technique, Clinical practice

林郁清,叶智学,郑定凤,徐琴鸿. 改良留置气泡技术对肌内注射药液外渗影响的研究[J]. 中华护理教育, 2021, 18(2): 159-162.

LIN Yu-qing,YE Zhi-xue,ZHENG Ding-feng,XU Qin-hong. The effects of modified indwelling bubble technique on the extravasation of intramuscular injection of medicine[J]. Chinese Journal of Nursing Education, 2021, 18(2): 159-162.

图/表 2

参考文献 15

[1]	Gülnar E, Özveren H. An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site[J]. Nurse Educ Today, 2016,36:360-363. doi: 10.1016/j.nedt.2015.09.001 pmid: 26438073
[2]	赵佛容, 温贤秀, 邓立梅. 临床护理技术操作难点及对策[M]. 北京: 人民卫生出版社, 2015: 12.
	Zhao FR, Wen XX, Deng LM. Difficulties and countermeasures of clinical nursing technique operation[M]. Beijing: People’s Medical Publishing House, 2015: 12.
[3]	Geyik S, Geyik M, Yigiter R, et al. Preventing sciatic nerve injury due to intramuscular injection:ten-year single-center ex-perience and literature review[J]. Turk Neurosurg, 2017,27(4):636-640. doi: 10.5137/1019-5149.JTN.16956-16.1 pmid: 27593812
[4]	Coskun H, Kilic C, Senture C. The evaluation of dorsogluteal and ventrogluteal injection sites:a cadaver study[J]. J Clin Nurs, 2016,25(7/8):1112-1119. doi: 10.1111/jocn.13171
[5]	Gürol Arslan G, Özden D. Creating a change in the use of ventrogluteal site for intramuscular injection[J]. Patient Prefer Adherence, 2018,12:1749-1756. doi: 10.2147/PPA.S168885 pmid: 30271121
[6]	吴惠平, 罗伟香. 护理技术操作并发症预防及处理[M]. 2版. 北京: 人民卫生出版社, 2014:13-14.
	Wu HP, Luo WX. Prevention and treatment of complications of nursing technique operation[M]. 2th ed. Beijing: People’s Medical Publishing House, 2014:13-14.
[7]	沈美琪, 邓勤, 胡晓睿, 等. 三种肌内注射方法应用于水肿患者的动物实验及临床观察[J]. 齐鲁护理杂志, 2014,20(8):33-34.
	Shen MQ, Deng Q, Hu XR, et al. Three intramuscular injection methods applied to animal experiment and clinical observation of patients with edema[J]. J Qilu Nurs, 2014,20(8):33-34.
[8]	Balci Akpinar R, Celebioglu A. Effect of injection duration on bruising associated with subcutaneous heparin:a quasi-experimental within-subject design[J]. Int J Nurs Stud, 2008,45(6):812-817. pmid: 17399715
[9]	张菊霞, 马玉霞, 温玉洁, 等. 皮下注射低分子肝素时不同推注时间对皮下出血的影响[J]. 中华护理杂志, 2014,49(2):233-235.
	Zhang JX, Ma YX, Wen YJ, et al. Effect of injection duration on bruising associated with subcutaneous low molecular weight heparin[J]. Chin J Nurs, 2014,49(2):233-235.
[10]	吴伟琴, 章飞琴, 祝春燕. Z-track肌内注射法结合留置气泡技术在注射黄体酮中的应用[J]. 护理与康复, 2010,9(3):245-246.
	Wu WQ, Zhang FQ, Zhu CY. Application of Z-track intramuscular injection combined with indwelling bubble technique in progesterone injection[J]. Nurs Rehabilitation J, 2010,9(3):245-246.
[11]	吕雪灵, 宋瑰琦, 凌云, 等. 苄星青霉素肌内注射方法的改进及效果评价[J]. 中华护理杂志, 2017,52(4):500-502.
	LÜ XL, Song GQ, Ling Y, et al. Influences of improved intramuscular injection on quality of benzathine benzylpenicillin medication[J]. Chin J Nurs, 2017,52(4):500-502.
[12]	李玲, 蒙雅萍. 护理学基础[M]. 3版. 北京: 人民卫生出版社, 2015.
	Li L, Meng YP. Fundamentals of nursing[M]. 3th ed. Beijing: People’s Medical Publishing House, 2015.
[13]	徐琴鸿. 护理技能操作流程与评分标准[M]. 宁波: 宁波出版社, 2019:98-99.
	Xu QH. Nursing skills operation process and scoring standards[M]. Ningbo: Ningbo Publishing House, 2019:98-99.
[14]	梁艳, 周海燕, 叶小聪, 等. Z径路法结合留置气泡技术减轻注射用鼠神经生长因子肌内注射时疼痛的效果评价[J]. 护士进修杂志, 2017,32(7):651-652.
	Liang Y, Zhou HY, Ye XC, et al. Evaluation of the effect of Z-path method combined with indwelling bubble technique on reducing pain during intramuscular injection of mouse nerve growth factor for injection[J]. J Nurses Train, 2017,32(7):651-652.
[15]	黄秀秀, 刘溢思, 黄碧腾, 等. 临床23项护理操作规范性的评价研究[J]. 中华护理教育, 2019,16(2):85-89.
	Huang XX, Liu YS, Huang BT, et al. Standardization degree of 23 nursing skills in clinical settings[J]. Chin J Nurs Educ, 2019,16(2):85-89.