实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (2): 206-208.doi: 10.3969/j.issn.1003-9198.2022.02.025

• 护理园地 • 上一篇    下一篇

老年糖尿病病人胰岛素注射部位皮下脂肪增生评估方法与效果

宋小波, 巫海娣, 吴丹, 徐婷, 娄青林, 顾刘宝, 胡艳, 戴静   

  1. 210024 江苏省南京市,江苏省省级机关医院内分泌科
  • 收稿日期:2021-04-07 出版日期:2022-02-20 发布日期:2022-02-28
  • 通讯作者: 巫海娣,Email:wuhaidi1974@163.com
  • 基金资助:
    南京医科大学科技发展基金项目(NMUB2018178)

Comparison of different evaluation methods for subcutaneous adipose hyperplasia at insulin injection sites in elderly patients with diabetes

SONG Xiao-bo, WU Hai-di, WU Dan, XU Ting, LOU Qing-lin, GU Liu-bao, HU Yan, DAI Jing   

  1. Department of Endocrinology, Jiangsu Province Official Hospital, Nanjing 210024, China
  • Received:2021-04-07 Online:2022-02-20 Published:2022-02-28

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摘要： 目的 比较视诊、触诊、B超探查3种方法评估老年糖尿病病人胰岛素注射部位皮下脂肪增生的效果。 方法 收集2019年6~12月在我院住院且接受胰岛素注射≥1年的90例老年糖尿病病人,调查病人胰岛素注射相关信息,并分别采用视诊、触诊、B超探查方法评估胰岛素注射部位有无脂肪增生,观察3种方法的检出率,并以B超探查结果为参照标准,评价视诊和触诊的假阴性率、假阳性率和错误率。 结果 90例病人经B超探查,皮下脂肪增生的检出率为56.7%,视诊的检出率为16.7%,低于B超探查法(P＜0.01);触诊的检出率为54.4%,与B超探查法比较,差异没有统计学意义(P=0.764);触诊的检出率高于视诊(P＜0.01)。视诊的假阳性率、假阴性率及错误率分别为5.1%、74.5%和44.4%;触诊的假阳性率、假阴性率及错误率分别为28.2%、25.5%和26.7%。 结论 临床应采用B超探查为主要方法评估胰岛素治疗病人注射部位的皮肤情况,减少错误率。

关键词: 老年人, 糖尿病, 胰岛素注射, 皮下脂肪增生, 评估方法

Abstract: Objective To compare the effects of inspection, palpation and B-ultrasonography in evaluating the subcutaneous adipose hyperplasia at insulin injection sites in the elderly patients with diabetes. Methods A total of 90 hospitalized elderly patients with diabetes were included from June to December 2019, and these patients had received insulin injections for more than 1 year. Inspection, palpation and B-ultrasonography were used to evaluate the subcutaneous adipose hyperplasia at injection site. The false positive rate, false negative rate and error rate of inspection and palpation were evaluated based on B-ultrasonography results. Results The detection rate of subcutaneous adipose hyperplasia was 56.7% by B-ultrasonography. The detection rate by inspection was 16.7%, which was lower than that by B-ultrasonography(P<0.01). The positive detection rate by palpation examination was 54.4%, which was equivalent to that by B-ultrasonography, but higher than that by inspection. The false positive rate, false negative rate and error rate of inspection was 5.1%, 74.5% and 44.4%, respectively. The false positive rate, false negative rate and error rate of palpation were 28.2%, 25.5% and 26.7%, respectively. Conclusions The routine use of B-ultrasonography is the main assessment method to evaluate the subcutaneous adipose hyperplasia at the injection site in the diabetic patients, which can reduce the error rate.

Key words: aged, diabetes, insulin injection, subcutaneous adipose hyperplasia, evaluation method

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