重庆市糖尿病患者胰岛素注射部位脂肪增生现状调查  

Survey of adipose hyperplasia on the insulin injected position in diabetic patients in Chongqing

作　　者：李飞霏[1] 刘智平[1] 傅仕敏 胡春娟[1] 刘秀容[1] 刘小群[2] 杨梅 李启富[1] 

机构地区：[1]重庆医科大学附属第一医院内分泌内科,400016 [2]重钢总医院内分泌科,400081 [3]重庆市南岸区弹子石街道社区卫生服务中心,400061

出　　处：《重庆医学》2015年第34期4818-4820,共3页Chongqing medicine

基　　金：国家临床重点专科护理建设基金资助项目(财社[2010]305号);重庆医科大学附属第一医院基金项目(HLJJ2013-17)

摘　　要：目的了解重庆市糖尿病患者胰岛素注射部位脂肪增生率及相关因素,为改进糖尿病患者胰岛素注射指导方法提供理论依据。方法选择市内10家不同等级医院门诊糖尿病患者,注射胰岛素1年以上为调查对象,以问卷调查、视诊、触诊注射部位的方式进行,评估注射部位脂肪增生情况。结果 736例接受调查患者中,有540例发生注射部位脂肪增生,增生率为73.4%。注射部位的脂肪增生与患者的糖尿病病程、针头自费比例、注射部位轮换、注射间距有关,差异有统计学意义(P<0.05)。有注射部位脂肪增生患者HbA1c、疾病治疗成本(每月医疗总费用)皆高于无增生患者,差异有统计学意义(P<0.05)。结论通过规范化指导胰岛素注射可减少注射部位脂肪增生,减轻患者个人、家庭及社会的经济负担。Objective To comprehend the occurring rate of adipose hyperplasia on the insulin injected position in diabetic pa- tients m Chongqmg as well as its related factors and to provide theoretical basis for improving instruction methods of insulin injec- tion. Methods Patients who had injected insulin for more than a year from 10 hospitals of different grade in Chongqing were ob- served by questionnaire,inspection and palpation of injection site. The occurring rate of adipose hyperplasia on the insulin injected position was evaluated. Results There were 540 patients had adipose hyperplasian among 736 diabetic patients and the rate of adi- pose hyperplasian was 73.40%. Adipose hyperplasia was related to duration of diabetes, expense of needle,injection site rotation,in- jection interval（P〈0.05）. The hemoglobin HbAlc and disease treatment cost （monthly medical cost） among patients with adipose hyperplasian was higher than those without. The differences were statistically significant（P〈0.05）. Conclusion Standardization insulin injection can reduce the occurrence of adipose hyperplasian, thereby reduce the economic burden of patient, his family and whole society.

关 键 词：糖尿病 胰岛素 脂肪增生 血糖 经济卫生学 

分 类 号：R587.1[医药卫生—内分泌]