关键词: 老年人, 糖尿病, 2型, 胰岛素, 注射, 皮下, 热敷, 粗盐

Abstract:

Objective To observe the effects of crude salt thermotherapy on lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes.Methods The change of temperature of self-made crude salt package heated by microwave oven for 2 minutes was observed dynamically at first and the appropriate temperature was selected based on the initial observation. The lipohypertrophy caused by insulin injection in 34 elderly patients with type 2 diabetes was identified in the study. On the basis of routine diabetes health education,crude salt thermotherapy was used to alleviate the severity of lipohypertrophy. The duration of the intervention lasted for 2 weeks. The diameter of patient’s lipohypertrophy was measured and analyzed before and after the intervention. Besides,patients’ comfor-table level was also assessed.Results After the thermotherapy,the diameter of lipohypertrophy was（12.78±4.21） mm,which was significantly smaller than that of（5.36±4.17） mm before the intervention（P<0.01）. The total effective rates was 88.2%（30/34）. During the procedure,94.1% of the subjects reported the process of thermotherapy was comfortable while discomfort experience was also received from 5.9% participants.Conclusion The crude salt thermotherapy is convenient and easy. It can improve patients’,comfortable experience and alleviate the size of lipohypertrophy caused by insulin injection in elderly patients with type 2 diabetes.

Key words: Aged, Diabetes Mellitus, Type 2, Insulin, Injections, Subcutaneous, HOT COMPRESS, Coarse salt