个性化胰岛素注射指导对注射局部不良反应的影响

The effect of insulin injections personalized guidance for injection sites

目的探讨个性化胰岛素注射指导对注射局部不良反应发生的影响。方法将接受初始胰岛素治疗的住院糖尿病患者198例分为干预组和对照组,在出院随访中采取不同的注射指导方法,观察2组患者皮下出血、脂肪增生、脂肪萎缩、局部感染等注射局部不良反应的发生情况。结果随访24周后,干预组注射部位各种局部不良反应的发生率均低于对照组,差异有统计学意义(P<0.05)。结论出院前给予糖尿病患者注射能力综合评估并在随访中采取个性化胰岛素注射技术指导,可显著减少注射局部不良反应的发生。

Objective To explore the effect of insulin injections personalized guidance for injection sites.Methods 198 diabetes mellitus accepting insulin therapy were divided into intervention group and the control group.Difference injection guidance were followed-up.And the subcutaneous hemorrhage,lipohypertrophy,lipoatrophy,sites infection and so on were observed in both groups.Results After 24 weeks following-up,the incidence of reactions in intervention group at the injection site were lower than those in the control group and those had statistically difference（P〈0.05）.Conclusion Evaluate the diabetic patients′comprehensive injection ability before hospital discharge and take the personalized injection guidance in following-up can reduce the sits adverse reaction significantly.