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目的:探讨糖尿病患者不同部位皮下注射胰岛素的效果。方法:将120例糖尿病患者随机分为4组各30例,分别在腹部脐周、上臂、臀部和大腿皮下注射胰岛素,在此期间注射剂量与注射次数均不可更改。注射胰岛素后给予固定饮食,测定空腹血糖、餐后2 h血糖和24 h尿糖,并评价患者疼痛程度。如是连续皮下注射3 d,第4天持续监测。第5天每组均更换另一部位重复如上工作。如此直至每组均分别采用四个部位皮下注射。结果:四个部位皮下注射胰岛素,降糖效果比较差异无统计学意义(P>0.05),但腹部脐周皮下注射疼痛最轻(P<0.05)。结论:脐周皮下注射胰岛素,降糖效果与其他部位无差异,但疼痛轻,操作方便,易于控制,值得临床推广。
Objective: To investigate the effect of subcutaneous injection of insulin in different parts of diabetic patients. Methods: A total of 120 patients with diabetes mellitus were randomly divided into 4 groups of 30 patients. Insulin was injected subcutaneously on the umbilical cord, upper arm, buttocks and thigh respectively. The dosage of injection and the number of injections were not changed during this period. After insulin injection given a fixed diet, fasting blood glucose, 2 h postprandial blood glucose and 24 h urine sugar, and evaluate the degree of pain in patients. If the continuous subcutaneous injection of 3 d, the first 4 days of continuous monitoring. The fifth day of each group to replace another part of the repeat work. So until each group were used four subcutaneous injection. Results: There was no significant difference in hypoglycemic effect between the four subcutaneous injection of insulin (P> 0.05), but the lumbar subcutaneous injection had the lightest pain (P <0.05). Conclusion: There is no difference between hypodermic subcutaneous injection of insulin and hypoglycemic effect, but the pain is light, easy to operate and easy to control, worthy of clinical promotion.