Abstract：Objective To observe the effect of potato chips on subcutaneous lipohypertrophy in patients with insulin injection. Methods From December 2015 to November 2016, 80 dzabetes mellitus patients who met the inclusion and exclusion criteria in the Affiliated Hospital of Nantong University were selected, and the patients were divided into the external application group and the control group by random number table. The external application group was treated with general nursing, health courses and external application of potato slices. The control group was given general nursing and health courses. The blood glucose and glycated hemoglobin were companed ketween the two groups be ore and after the intervention, and the effect of external application of potato chips on subcutaneous fat was observed. Results A total of 78 patients completed the study, including 38 patients in the external application group and 40 patients in the control group. After intervention, the efficacy of subcutaneous fat hyperplasia between the two groups was observed and compared, and the difference was statistically significant (P ＜ 0.05). There were significant differences in pain and leakage between the two groups (P ＜ 0.05). The difference in fasting blood glucose and HbA1c between the two groups before and after intervention were statistically significant (P ＜ 0.05). Conclusion Standard healthy education is an important guarantee to reduce the occurrence of local adverse reactions. Potato chips sticking can effectively treat the subcutaneous fat hyperplasia caused by insulin injection.
[1] 张毓辉，万泉，柴培培，等.我国糖尿病医疗费用及筹资负担研究[J].中国卫生经济，2017，26（4）：17-19.
[2] The International Diabetes Federation. IDF diabetes atlas（7th）[2015-12-01]. https：//www.diabetesatlas.org/.
[3] 高蕾莉，纪立农，陆菊明，等.2009～2012年我国2型糖尿病患者药物治疗与血糖控制状况调查[J].中国糖尿病杂志，2014，22（7）：594-598．
[4] 王春秀，付庆敏，张淑荣，等.不同胰岛素注射方式及护理干预治疗糖尿病疗效分析[J].中国药业，2014，23（9）：65-67.
[5] 钱慧，何文霞.规范胰岛素注射技术对减少皮肤并发症的作用[J].实用临床医药杂志，2013，17（22）：76-78.
[6] Vardar B，Kizilci S. Incidence of lipohypertrophy in diabetic patients and a study of influencing factors [J]. Diabetes Res Clin Pract，2007，77（2）：231-236.
[7] 黄文洁，王丽娟，钱怡.医院社区家庭综合健康干预模式对胰岛素治疗患者生活质量及治疗依从性的影响[J].中华现代护理杂志，2015，21（28）：346-248.
[8] 阮静，肖金兰，吴芳.土豆片外敷预防和治疗接种疫苗后红肿及硬结的疗效硬结[J].全科护理，2015，10（13）：3678-3679.
[9] 王美娟，陈志云，应徐燕.新鲜土豆片对脂肪乳外渗后皮肤消肿作用的临床观察[J].中国中医急症，2010，1（19）：179-181.
[10] 傅小兵，王德文.创伤修复基础[M].北京：人民军医出版社，1997，202-232.
[11] 张春凤.皮下脂肪瘤的高频超声诊断[J].中华现代影像学杂志，2012，9（1）：32-33.
[12] Ayman AAH，Asirvatham AR，Rim BB，et al. Frequency of Lipohypertrophy and Associated Risk Factors in Young Patients with Type 1 Diabetes：A Cross-Sectional Study [J]. Diabetes Ther，2016，7（2）：259-267.
[13] Kordonouri O，Lauterborn R，Deiss D. Lipohypertrophy in young patients with type 1 diabetes [J]. Diabetes Care，2002，25（3）：634.
[14] Gentile S，Strollo F，Ceriello A. Lipodystrophy in Insulin-Treated Subjects and Other Injection-Site Skin Reactions：Are We Sure Everything is Clear? [J]. Diabetes Ther，2016，7（3）：401-409.
[15] Ji L，Sun Z，Li Q，et al. Lipohypertrophy in China：Prevalence，Risk Factors，Insulin Consumption，and Clinical Impact [J]. Diabetes Technol Ther，2017，19（1）：61-67.
[16] 吴伟英，叶凯云，梁干雄，等.1型糖尿病患者脂肪增生的相关因素分析及预防护理措施[J].中国实用护理杂志，2016，32（9）：677-678.
[17] HambridgeK. The management of lipohypertrophy in diabetes care [J]. Br JNurs，2007，16（9）：520-524.
[18] 刘双，邱雪琴，刘佩文，等.胰岛素笔用针头使用现状调查[J].医药导报，2016，35（z1）：55-57.
[19] Ajlouni MA，Abujbara M，Batieha A，et al. Prevalence of lipohypertrophy and associated risk factors in insulin-treatetedpatients with type2 diabetes mellitus [J]. Int J Endocrinol Metab，2015，13（2）：e20776.
[20] 高岩，刘秀华.糖尿病患者胰岛素注射部位的选择及轮换现状调查[J].护士进修杂志，2015，30（4）：307-309.
[21] 郭云.甘露醇外渗使用土豆泥护理干预的效果观察[J].中国实用医药，2013，4（8）：212-213.
[22] 李芳.新鲜土豆片对化疗性静脉炎预防效果的临床观察[J].国际护理学杂志，2015，34（14）：1997-1998.
2019, Vol. 16 
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