超重及肥胖患者臀部肌内注射深度的探讨  

Depth for Intramuscular Gluteal Injection in Over-weight and Obese Population

作　　者：王从华[1] 邹红梅[1] 李小云[1] 廖全全[1] 廖月红[1] 沈薏 

机构地区：[1]深圳市宝安区人民医院急诊科,广东深圳518101

出　　处：《护理学杂志》2009年第6期3-5,共3页

基　　金：深圳市医学重点学科建设专项基金资助项目(2005-25-c13);深圳市宝安区科技局科技计划项目(2008302)

摘　　要：目的探讨成人超重及肥胖患者臀部肌内注射的适宜深度。方法抽取超重及肥胖者200例(男、女各100例),测量身高、体质量,计算体重指数(BMI),根据BMI判断超重与肥胖;采用B超测定其臀部肌内注射部位皮下脂肪厚度。结果男性皮下脂肪厚度为(25.7±4.3)mm,女性为(25.8±3.9)mm;男、女性皮下脂肪厚度≥21.3 mm(常规肌内注射的深度)者分别为92.0%、95.0%。男性、女性超重与肥胖者皮下脂肪厚度比较,差异无统计学意义(均P>0.05)。结论常规肌内注射的深度对超重或肥胖者已不适用,注射时针头仅能到达皮下脂肪层而未达臀大肌,存在医疗隐患,需积极寻求解决方法。Objective To explore suitable needle length for intramuscular gluteal injection in over-weight and obese population. Methods Two hundred over-weight or obese people（100 males and 100 females） were enrolled. Their height, body weight were measured and body mass index （BMI） was calculated to determine the degrees of over-weight or obesity. The thickness of subcutaneous fat at the injection sites was measured by ultrasound. Results The mean thickness of subcutaneous fat was （25.7±4.3）mm in male, and （25.8±3.9） mm in female; the percentage of those with subcutaneous fat thicker than 21.3 mm （routine depth for intramuscular gluteal injection） was 92.0% in male and 95.0% in female. There was no significant difference in subcutaneous fat thicknesses between male over-weight and obese peoples;neither was there between female over-weight and obese ones（P〉0.05 for both）. Conclusion Standard needle length for intramuscular injection does not apply to over-weight and obese peoples, and corresponding measures should be taken.

关 键 词：超重 肥胖 肌内注射 臀部皮下脂肪 注射深度 

分 类 号：R472.9[医药卫生—护理学]