目的 了解胰岛素自我注射患者皮下脂肪增生发生情况,分析影响因素.方法 选取胰岛素自我注射的2型糖尿病患者378例,按是否发生皮下脂肪增生分为增生组(163例)和非增生组(215例),采用自制胰岛素注射行为调查问卷对两组进行调查,分析皮下脂肪增生发生的影响因素.结果 年龄、体质量指数、病程、胰岛素注射时间、注射装置、注射行为等是皮下脂肪增生的影响因素(P<0.05,P<0.01).结论 皮下脂肪增生的发生与患者胰岛素注射行为密切相关,医护人员应予以充分认识并提供针对性干预措施,以帮助患者实现平稳控糖,减少皮下脂肪增生的发生.
Objective To investigate the present status of lipohypertrophy among insulin self-injection patients,and analyze its influencing factors.Methods Totally 378 insulin self-injection patients with type 2 diabetes were selected,and they were divided in to a hyperplastic group (n 163) and a non-hyperplastic group (n=215) according to the occurrence of lipohypertrophy.Then the two groups were investigated using self-designed insulin injection behavior questionnaire,and the influencing factors of lipohypertrophy were analyzed.Results Age,BMI,duration of disease,length of insulin injection,injection device and injection behavior were influencing factors of lipohypertrophy (P<0.05,P<0.01).Conclusion The occurrence of lipohypertrophy has close relationship with patients' insulin injection behavior,so medical staff should fully understand and provide targeted interventions to help patients control blood sugar smoothly,and reduce the occurrence of lipohypertrophy.