雷火灸应用于胰岛素注射所致皮下脂肪增生硬结患者的护理效果分析  

Nursing effect of thunder fire moxibustion on patients with subcutaneous fat hyperplasia caused by insulin injection

作　　者：薛冰冰 周君珺 沈燕 郭宝珠 戴兰娟 XUE Bingbing;ZHOU Junjun;SHEN Yan;GUO Baozhu;DAI Lanjuan(Department of Endocrinology,Yancheng First People's Hospital,Yancheng 224000,China)

机构地区：[1]盐城市第一人民医院内分泌一科,江苏盐城224000

出　　处：《医药高职教育与现代护理》2020年第6期458-461,共4页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的通过对比雷火灸与硫酸镁湿热敷对胰岛素注射所致皮下脂肪增生的护理效果,优选胰岛素注射引起皮下硬结的干预方案。方法回顾性研究2018年2月至2019年12月期间盐城市第一人民医院收治的80例胰岛素注射致皮下硬结患者。将应用硫酸镁湿热敷方式护理患者作为对照组(40例),将应用雷火灸方式护理患者作为研究组(40例),连续干预14 d。评估两组方式护理效果,记录两组患者护理时长及治疗费用,测量并比较护理前后两组患者皮下硬结面积变化。结果护理前两组患者皮下硬结面积比较差异无统计学意义(P>0.05);随护理时间延长,两组患者皮下硬结面积均逐渐减小,从护理后第7天开始研究组患者皮下硬结面积较护理前显著降低,且皮下硬结面积均明显低于对照组(P<0.05);研究组临床干预总有效率(95.00%)远高于对照组(65.00%)(P<0.05);且研究组单人次护理时间(10 min)和费用(27.75元)低于对照组(30 min,45元)。结论采用雷火灸方式护理胰岛素注射所致皮下脂肪增生患者,能快速有效缓解皮下硬结状况,促进胰岛素注射部位恢复,且经济实惠,效果显著,可以作为胰岛素注射所致皮下硬结的优选外治护理方案。Objective The aim of this study is to compare the nursing effects of thunderfire moxibustion and magnesium sulfate hot and humid compress on subcutaneous fat hyperplasia caused by insulin injection.Methods Eighty patients with subcutaneous sclerosis caused by insulin injection in Yancheng First People's Hospital from February 2018 to December 2019 were selected as the research objects.The patients treated with magnesium sulfate moist heat compress method were enrolled into control group(40 cases).Patients were enrolled into study group(40 cases)for 14 consecutive days where thunder fire moxibustion was applied.The total length of care,treatment costs and the changes of subcutaneous induration area between the two groups of patients before and after nursing were compared.Results There was no significant difference in the subcutaneous induration area between the two groups of patients before nursing(P>0.05).With the extension of the nursing time,the subcutaneous induration area of the two groups gradually decreased.After 7 days of the treatment,the subcutaneous induration area of the study group was larger than that before,and the area of subcutaneous induration was significantly less than that of control group significantly(P<0.05).The total effective rate of clinical intervention in the study group(95.00%)was higher than that of the control group(65.00%).The nursing time was significantly shortened,and the treatment cost was significantly reduced compared with control group.Conclusions Thunder fire moxibustion can alleviate the condition of subcutaneous induration and promote the recovery of the site of insulin injection,which is economical and effective.

关 键 词：雷火灸 胰岛素 皮下注射 脂肪增生 硫酸镁湿热敷 

分 类 号：R47[医药卫生—护理学]