笔式胰岛素压迫式模拟注射对皮脂压缩状态的研究  

Study on the Compression State of Pen-like Insulin Compression Simulation Injection of Sebum

作　　者：王军毅 李伟 杜斯娜 WANG Jun-yi;LI Wei;DU Si-na(General Department,Community Health Service Center,Minglou Street,Yinzhou District,Ningbo,Zhejiang Province,315040 China;Department of Endocrinology,Li Huili Hospital of Ningbo Medical Center,Ningbo,Zhejiang Province,315048 China;Department of Endocrinology,Cixi Hospital Affiliated to Wenzhou Medical University,Ningbo,Zhejiang Province,315399 China)

机构地区：[1]宁波市鄞州区明楼街道社区卫生服务中心全科,浙江宁波315040 [2]宁波市医疗中心李惠利医院内分泌科,浙江宁波315048 [3]浙江省温州医科大学附属慈溪医院内分泌科,浙江宁波315399

出　　处：《糖尿病新世界》2020年第13期15-17,共3页Diabetes New World Magazine

基　　金：浙江省医药卫生科技计划项目(2019ZH036,2019ZH035);宁波市科技服务业示范项目(2019F1007)。

摘　　要：目的通过模拟日常笔式胰岛素注射方法,观察压迫式注射时皮脂压缩度,并探讨其安全性。方法该次以门诊2016年10月就诊的222例患者为对象,应用B超测量脐周A点和B点皮肤及皮下组织厚度,笔式胰岛素压迫式模拟注射时皮肤及皮下组织厚度,统计模拟注射A点和B点部位的非安全人员数。结果两个试验点皮下组织厚度具有60%的平均压缩率,皮脂厚度有50%以上的压缩率。A、B两点皮下组织厚度的压缩绝对值、皮脂厚度和皮下组织厚度的压缩率具有统计学差异。B点皮肤薄,皮下组织厚,被压缩性更强。B点皮肤偏厚的人偏少。A点皮肤厚度大于3.5 mm有5人。加压以后皮脂厚度接近安全警戒线人明显增加,小于4.5 mm的人员占全体人数的10%。结论皮脂厚度在压缩的情况下会变薄,注射的危险性会明显增大,需要进一步寻找既方便又安全的操作方法去解决。Objective To simulate the daily pen insulin injection method,observe the compression of sebum during compression injection,and discuss its safety.Methods 222 people visited the clinic in October 2016 as the subjects B-ultrasound was used to measure the thickness of skin and subcutaneous tissue at points A and B of the umbilical cord.The thickness of skin and subcutaneous tissue was simulated by pen-type insulin compression.The number of non-safety personnel at points A and B of the simulated injection was counted.Results The thickness of subcutaneous tissue at both test points had an average compression rate of 60%,and the thickness of sebum had a compression rate of more than 50%.There were statistical differences between the absolute compression values of subcutaneous tissue thickness,sebum thickness and compression ratio of subcutaneous tissue thickness at two points A and B.At point B,the skin was thin,the subcutaneous tissue was thick,and it is more compressible.There were few people with thick skin at point B.There were 5 people at point A with a skin thickness greater than 3.5 mm.After pressurization,the thickness of sebum was close to that of the security warning informant,and the personnel less than 4.5mm account for 10%of the total number.Conclusion The thickness of sebum will become thinner under compression,and the risk of injection will increase significantly.It is necessary to further find a convenient and safe operation method to solve.

关 键 词：胰岛素注射技术 皮脂厚度 安全性B超测量 

分 类 号：R587.2[医药卫生—内分泌]