两部四区五指轮换方案对妊娠期糖尿病胰岛素注射效果的影响

Effect of two-part four-area five-finger rotation programs on insulin injection in patients with gestational diabetes

目的探讨两部四区五指轮换方案对妊娠期糖尿病患者胰岛素注射效果的影响。方法选择2017年3月至2018年2月本院高危产科门诊产检的86例妊娠期糖尿病患者作为研究对象,随机将其等分为观察组与对照组,观察组采用两部四区五指轮换方案进行胰岛素皮下注射,对照组采用常规环形轮换法注射胰岛素。比较两组患者注射部位规律轮换率、胰岛素注射时间以及注射局部不良反应发生率。结果观察组患者注射部位规律轮换率明显高于对照组,差异有统计学意义(P<0.05);观察组患者胰岛素注射时间明显短于对照组,差异具有统计学意义(P<0.05);观察组患者注射部位局部不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。结论两部四区五指轮换方案能有效提高妊娠期糖尿病患者胰岛素注射部位的规律轮换率,减少局部不良反应发生率,进而提高临床治疗效果。

Objective To explore the effect of two-part four-area five-finger rotation programs on insulin injection in patients with gestational diabetes. Methods To select 86 cases of gestational diabetes patients who underwent production inspection in the high-risk obstetrics outpatient of our hospital from March 2017 to February 2018 as the study subjects. They were divided into observation group and control group with the same number of patients randomly. The observation group was given two-part four-area five-finger rotation programs for insulin injection subcutaneously, while the control group was given insulin injection by routine circular finger rotation method. We compared the regular rotation rate of the injection site, the time of insulin injection and the incidence of local adverse reactions between the two groups. Results The regular rotation rate of the injection site in the observation group was obviously higher than that in the control group,and the difference was statistically significant( P <0.05).The time of insulin injection in the observation group was obviously shorter than that in the control group,and the difference was statistically significant( P <0.05).The incidence of local adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant( P <0.05). Conclusion Two-part four-area five-finger rotation programs can improve the regular rotation rate of insulin injection sites in patients with gestational diabetes effectively, and reduce the incidence of local adverse reactions. Therefore, it can improve the clinical treatment effect.