【摘要】目的 探討专科监测指标法对降低皮下注射低分子肝素血肿发生率的临床应用效果。方法 选取我院东院区心内科收治的冠心病患者200例，根据自愿原则，选取其中自愿接受常规注射法的100例患者作为对照组，另外自愿接受监测下标准注射法的100例患者作为观察组，观察组通过使用病区专科监测指标来规范护理人员按照评判标准进行低分子肝素皮下注射。对比两组患者皮下注射低分子肝素血肿发生率及护理服务满意度。结果 观察组患者皮下注射低分子肝素血肿发生率明显低于对照组；观察组护理服务满意度显著高于对照组；差异有统计学意义(P<0.05)。实施监测一年前后同组护士规范注射标准执行率比较结果有明显差异，实施后各项得分显著高于实施前，差异有统计学意义(P<0.05)。结论 专科监测指标法能严格规范护士皮下注射低分子肝素操作方法，杜绝注射部位血肿的发生，提高患者护理服务满意度。

    【关键词】专科监测指标；皮下注射；血肿

    【中图分类号】R473.5 【文献标识码】B 【文章编号】ISSN.2095-6681.2017.20..02

    【Abstract】Objective To explore the clinical application of the special monitoring index method to reduce the incidence of subcutaneous injection of low molecular weight heparin hematoma.Methods A total of 200 patients with coronary heart disease were enrolled in this study. 100 patients with voluntary injection were selected as the control group and 100 patients who were voluntarily under the standard injection method were selected as the observation group ......