视诊、触诊联合超声技术在皮下脂肪增生患者中的应用

Application of inspection,palpation combined with ultrasound technology in lipohypertrophy

目的探讨视诊、触诊联合超声检测在胰岛素注射患者皮下脂肪增生(LH)筛查和管理中的应用价值。方法选取2021年2月至12月在南京医科大学附属江宁医院内分泌科住院的120例正在进行胰岛素治疗的糖尿病患者作为研究对象,收集患者的一般资料及胰岛素注射相关资料,使用视诊、触诊及超声检测筛查LH。结果120例患者中,视诊、触诊检出64例LH阳性患者,检出阳性部位98处;超声检查检出84例LH阳性患者,检出阳性部位146处;视诊、触诊联合超声检出检测92例LH阳性患者,其中检出阳性部位178处。视诊、触诊联合超声检测的LH阳性检出率为76.67%(92/120),高于单独视诊、触诊的53.33%(64/120),差异有统计学意义(P<0.05)。结论视诊、触诊联合超声检测可以有效提高糖尿病患者胰岛素注射LH筛查的阳性检出率,减少漏诊,对LH的临床精准干预有重要价值。

Objective To explore the application value of inspection,palpation combined with ultrasound in the screening and management of lipohypertrophy(LH)with Insulin injection.Methods A total of 120 diabetic patients who were hospitalized in the Department of Endocrinology of Jiangning Hospital Affiliated to Nanjing Medical University from February to November 2021 who were undergoing Insulin therapy were selected as subjects,and the general information and information related to Insulin injection were collected.Screening for LH was performed using inspection,palpation,and ultrasound.Results Among the 120 patients,64 patients with LH were detected by inspection and palpation,and 98 positive sites were detected.Eighty-four patients with LH were detected by ultrasound,and 146 positive sites were detected.Ninety-two patients with positive LH were detected by inspection,palpation combined with ultrasound,among which 178 positive sites were detected.The positive detection rate of LH of inspection,palpation combined with ultrasound was 76.67%(92/120),which was higher than 53.33%(64/120)of inspection and palpation alone(P<0.05).Conclusion inspection,palpation combined with ultrasound detection can effectively improve the positive detection rate of Insulin Injection LH screening in diabetic patients and reduce missed diagnosis,which has important value for clinical precise intervention of LH.