胰岛素注射知识.ppt

《2011版糖尿病药物注射技术指南》目录 《2011版中国糖尿病药物注射技术指南》 注射技术篇 《2011版中国糖尿病药物注射技术指南》发布 谢谢！ 注射部位的轮换：同一注射部位内的轮换 同一注射部位内的轮换： 每次注射时离上次注射点之间距离至少间隔1cm 关于注射部位检查和消毒的推荐： 患者应于注射前检查注射部位[1,2] A3 一旦发现注射部位若出现脂肪增生、炎症或感染，应更换注射部位[3-10] A2 注射时，应保持注射部位的清洁[11] A2 当注射部位不洁净，或者患者处于感染已于传播的环境（如：医院或疗养院），注射前应消毒注射部位[2,12,16-18] A3 Danish Nurses Organization. Evidence-based Clinical Guidelines for Injection of Insulin for Adults with Diabetes Mellitus, 2nd edition, December 2006. Association for Diabetescare Professionals (EADV). Guideline: The Administration of Insulin with the Insulin Pen. September 2008. Johansson U. Amsberg S, Hannerz L, Wredling R, Adamson U, Arnqvist HJ P Lins (2005) Impaired Absorption of insulin Aspart from Lipohypertrophic Injection Sites. Diabetes Care: Vol 28, No 8, 2025-2027. Ariza-Andraca CR, Altamirano-Bustamante E, Frati-Munari AC, Altamirano-Bustamante P, Graef-Sanchez A. Delayed insulin absorption due to subcutaneous edema. Arch Invest Med 1991;22:229-33. Saez-de Ibarra L, Gallego F. Factors related to lipohypertrophy in insulin-treated diabetic patients; role of educational intervention. Pract Diabetes Int 1998;15:9-11. Young RJ, Hannan WJ, Frier BM, Steel JM, Duncan LJ. Young RJ, Hannan WJ, Frier BM, Steel JM Diabetic lipohypertrophy delays insulin absorption. Diabetes Care 1984;7:479-80. Chowdhury TA, Escudier V. Poor glycaemic control caused by insulin induced lipohypertrophy. BMJ 2003;327:383-4. Johansson UB. Impaired absorption of insulin aspart from lipohypertrophic injection sites. Diabetes Care 2005;28:2025-7. Overland J, Molyneaux L, Tewari S., Fatouros R, Melville P, Foote D, et al. Lipohypertrophy: Does it matter in daily life? A study using a continuous glucose monitoring system. Diabetes Obes Metab2009;11:460-3. Frid A, Linden B. Computed tomography of injection sites in patients with diabetes mellitus. Injection and Absorption of Insulin. Stockholm: Thesis, 1992. Gorman KC. Good hygiene versus alcohol swabs before insulin inj