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  

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

作　　者：宋小波[1] 巫海娣[1] 吴丹[1] 徐婷 娄青林[1] 顾刘宝[1] 胡艳[1] 戴静[1] SONG Xiao-bo;WU Hai-di;WU Dan;XU Ting;LOU Qing-lin;GU Liu-bao;HU Yan;DAI Jing(Department of Endocrinology, Jiangsu Province Official Hospital, Nanjing 210024, China)

机构地区：[1]江苏省省级机关医院内分泌科,江苏省南京市210024

出　　处：《实用老年医学》2022年第2期206-208,211,共4页Practical Geriatrics

基　　金：南京医科大学科技发展基金项目(NMUB2018178)。

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。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.

关 键 词：老年人 糖尿病 胰岛素注射 皮下脂肪增生 评估方法 

分 类 号：R473.58[医药卫生—护理学]