Objective:To explore influence of secondary turntable abdomen insulin injection positioning ruler (STAI-IPR)on blood glucose level and complications in aged patients with diabetes mellitus (DM).Methods:A total of 120 aged DM patients treated in our hospital from Jan 2016 to Dec 2016 were selected.According to random number ta-ble,patients were randomly and equally divided into random rotation group (received random rotated injection)and STAIIPR group (received positioning injection by STAIIPR),both groups were injected for 1000 times.Levels of fasting blood glucose (FBG)and 2h postprandial blood glucose (2hPG)before and after treatment,pain score and incidence of complications after treatment were observed and compared between two groups.Results:Compared with before treatment,there were significant reductions in levels of FBG and 2hPG in both groups after treatment, P =0.001 all.Compared with random rotation group after treatment,there were significant reductions in levels of FBG [(6.58±1.07)mmol/L vs.(5.67±1.58)mmol/L],2hPG [(9.35±1.59)mmol/L vs.(8.41±1.27)mmol/L]and incidence rate of complications (20.0% vs.5.0%);and significant rise in percentage of 0 pain score (30.0% vs.55.0%)in STAIIPR group,P <0.05 or <0.01. Conclusion:Insulin injection by STAIIPR can disperse injection point without overlap.It can effectively control blood glucose level,reduce complications of injection sites and is easy for patients to do it themselves in aged DM patients,which is worth clinical extension.%目的:探讨二级转盘式胰岛素腹部注射定位尺对老年糖尿病(DM)患者血糖水平及并发症的影响.方法:选择2016年1月到2016年12月于本院接受治疗的老年DM患者120例.根据随机数字表法,患者被随机均分为随机轮换组(接受随机轮换部位注射)和二级转盘组(接受二级转盘式胰岛素腹部注射定位尺定位注射).两组均注射1000次后,观察比较两组治疗前后空腹血糖(FBG)、餐后2h血糖(2hPG)水平,治疗后的疼痛评分和并发症情况.结果:与治疗前比较,两组治疗后FBG和2hPG水平均显著降低,P均=0.001.与随机轮换组比较,二级转盘组治疗后FBG[(6.58±1.07)mmol/L比(5.67±1.58)mmol/L]、2hPG[(9.35±1.59)mmol/L比(8.41±1.27)mmol/L]水平以及并发症发生率(20.0%比5.0%)均显著降低;疼痛评分0分比例(30.0%比55.0%)显著升高,P<0.05或<0.01.结论:采用二级转盘式胰岛素腹部注射定位尺进行胰岛素注射能使注射点分布均匀不重叠,有效控制老年糖尿病患者血糖水平,减少注射部位并发症,易于患者自行操作,具有较好的临床推广价值.
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