摘要
目的探讨糖尿病患者胰岛素注射点的最佳间距。方法将258例需强化治疗的糖尿病患者随机均分为A、B、C三组,并将三组患者的注射部位呈网络式分别划分为1.50cm×1.50cm、2.00cm×2.00cm、2.50cm×2.50cm的小区作为一个注射点。结果258例均无肌肉萎缩发生。注射时疼痛强度、局部红肿、皮下硬结,B组、C组与A组比较,差异有显著性意义(均P<0.01);B组与C组比较,差异无显著性意义(P>0.05)。结论糖尿病患者进行胰岛素强化治疗时,其注射部位应轮换,每个注射点所占的面积越大,注射疼痛强度越弱,并发症发生率越低,而网络式划分法的2.00cm×2.00cm注射区既可有效减少并发症的发生,又不易导致血糖波动,因此为最佳注射点间距。
Objective To investigate the correct distance between injection point of insulin. Methods Two hundred and fifty-eight diabetic patients with intensive insulin therapy were randomly divided into groups A, B and C （86 cases in each group）. The injection sites in groups A, B and C divided by net-like dividing methods, were classified into three areas which were 1.50 cm× 1.50 cm. 2.00 cm× 2.00 cm and 2.50 cm × 2.50 cm respectively as injection points. Results There was significant difference in pain. red and swelling and subeutaneous noduli on injection sites between groups B. C and group A （all P〈0.01）, but there was no difference between groups B and C （P〈0.05）. Conclusion The 2.00 cm × 2.00 cm area divided by net-like dividing methods is an optimal injection point for dial,talc patients subject to intensive insulin therapy, which can effectively reduce the occurrence of complications.
关键词
糖尿病
胰岛素
注射部位
网络式划分
注射点间距
diabetic mellitus
insulin
injection site
net like dividing
distance between the injection points
