皮下注射胰岛素,需要捏起皮肤吗?

2017-08-11 佚名 华医网

皮下注射胰岛素时,你都是怎么做的呢? 受到患者体型、注射部位以及所用针头长度的影响,若在注射前不进行捏皮操作,可能因为误操作进行了肌肉注射,引发严重低血压反应的风险。

皮下注射胰岛素时,你都是怎么做的呢?

受到患者体型、注射部位以及所用针头长度的影响,若在注射前不进行捏皮操作,可能因为误操作进行了肌肉注射,引发严重低血压反应的风险。

捏起皮肤可以使该部位的皮下组织深度变深,能有效提高注射安全性。故,在符合条件的患者中,应严格执行捏皮操作。

一、推荐进行捏皮操作人群

1.儿童及青少年患者

身材较瘦或选择四肢部位进行注射的患者,尤其当选用5或6mm的针头时;

不推荐但只有8mm针头时。

2.成年人糖尿病患者

在四肢或脂肪较少的腹部进行注射时,甚至在使用4mm和5mm针头时;

使用长度≥8mm针头。



二、捏皮的正确手法

用拇指、示指和中指提起皮肤。若用整只手捏皮,有可能将肌肉及皮下组织一同捏起,造成肌肉注射。

捏皮力度需适宜,不应过大,否则会导致皮肤发白或者疼痛。



三、捏皮注射的最佳步骤

1. 捏起皮肤形成皮褶

2. 90°进针缓慢推注

3. 小心缓慢拔出针头

4. 最后缓慢松开皮褶

四、使用手法及针头推荐



总结

当皮肤表面到肌肉间的推测距离短于针头长度时,捏起皮肤可以使该部位的皮下组织深度变深,能有效提高注射安全性。

需要注意的是,所有患者在起始胰岛素治疗时,就应该掌握捏皮的正确方法,防止造成肌肉注射,从而降低引发严重低血压反应的风险。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1749806, encodeId=27061e49806e7, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Wed Oct 04 21:40:00 CST 2017, time=2017-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233635, encodeId=d1c9233635e7, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicUw7yoAI4gptl6B3VGw6WZrBwAOwx2SfiafGGQAR5HcSI6IZVGvkthHYWlxfSGeSMz7KiablPqmJhCFP8wLMk7JFEkIFg7iaveU/0, createdBy=4bd02015384, createdName=医望无涯, createdTime=Tue Aug 15 01:13:43 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1372230, encodeId=749713e2230f3, content=<a href='/topic/show?id=1a6de1930e8' target=_blank style='color:#2F92EE;'>#皮下注射#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71930, encryptionId=1a6de1930e8, topicName=皮下注射)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c838337, createdName=zhlpower, createdTime=Sat Aug 12 23:40:00 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232469, encodeId=4afe2324699e, content=好好努力看下吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Fri Aug 11 12:23:11 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232431, encodeId=86592324312e, content=正确操作是治疗疾病预防并发症的保记, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Fri Aug 11 09:53:29 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232421, encodeId=4cc4232421a1, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Aug 11 09:19:43 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232414, encodeId=a0ce23241474, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4mzqK7XHyH86ToibWNdzamnZozW6yiceXFib4QHq1lCOia34v7bgwXUIH1Rdnoqia2y6ibLX156v1xmicZw/0, createdBy=15891613430, createdName=xuexin53, createdTime=Fri Aug 11 08:53:15 CST 2017, time=2017-08-11, status=1, ipAttribution=)]
    2017-10-04 baoya
  2. [GetPortalCommentsPageByObjectIdResponse(id=1749806, encodeId=27061e49806e7, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Wed Oct 04 21:40:00 CST 2017, time=2017-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233635, encodeId=d1c9233635e7, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicUw7yoAI4gptl6B3VGw6WZrBwAOwx2SfiafGGQAR5HcSI6IZVGvkthHYWlxfSGeSMz7KiablPqmJhCFP8wLMk7JFEkIFg7iaveU/0, createdBy=4bd02015384, createdName=医望无涯, createdTime=Tue Aug 15 01:13:43 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1372230, encodeId=749713e2230f3, content=<a href='/topic/show?id=1a6de1930e8' target=_blank style='color:#2F92EE;'>#皮下注射#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71930, encryptionId=1a6de1930e8, topicName=皮下注射)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c838337, createdName=zhlpower, createdTime=Sat Aug 12 23:40:00 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232469, encodeId=4afe2324699e, content=好好努力看下吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Fri Aug 11 12:23:11 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232431, encodeId=86592324312e, content=正确操作是治疗疾病预防并发症的保记, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Fri Aug 11 09:53:29 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232421, encodeId=4cc4232421a1, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Aug 11 09:19:43 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232414, encodeId=a0ce23241474, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4mzqK7XHyH86ToibWNdzamnZozW6yiceXFib4QHq1lCOia34v7bgwXUIH1Rdnoqia2y6ibLX156v1xmicZw/0, createdBy=15891613430, createdName=xuexin53, createdTime=Fri Aug 11 08:53:15 CST 2017, time=2017-08-11, status=1, ipAttribution=)]
    2017-08-15 医望无涯

    这个不错

    0

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  4. [GetPortalCommentsPageByObjectIdResponse(id=1749806, encodeId=27061e49806e7, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Wed Oct 04 21:40:00 CST 2017, time=2017-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233635, encodeId=d1c9233635e7, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicUw7yoAI4gptl6B3VGw6WZrBwAOwx2SfiafGGQAR5HcSI6IZVGvkthHYWlxfSGeSMz7KiablPqmJhCFP8wLMk7JFEkIFg7iaveU/0, createdBy=4bd02015384, createdName=医望无涯, createdTime=Tue Aug 15 01:13:43 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1372230, encodeId=749713e2230f3, content=<a href='/topic/show?id=1a6de1930e8' target=_blank style='color:#2F92EE;'>#皮下注射#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71930, encryptionId=1a6de1930e8, topicName=皮下注射)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c838337, createdName=zhlpower, createdTime=Sat Aug 12 23:40:00 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232469, encodeId=4afe2324699e, content=好好努力看下吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Fri Aug 11 12:23:11 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232431, encodeId=86592324312e, content=正确操作是治疗疾病预防并发症的保记, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Fri Aug 11 09:53:29 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232421, encodeId=4cc4232421a1, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Aug 11 09:19:43 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232414, encodeId=a0ce23241474, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4mzqK7XHyH86ToibWNdzamnZozW6yiceXFib4QHq1lCOia34v7bgwXUIH1Rdnoqia2y6ibLX156v1xmicZw/0, createdBy=15891613430, createdName=xuexin53, createdTime=Fri Aug 11 08:53:15 CST 2017, time=2017-08-11, status=1, ipAttribution=)]
    2017-08-11 忠诚向上

    好好努力看下吧

    0

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    2017-08-11 1e0f8808m18(暂无匿称)

    正确操作是治疗疾病预防并发症的保记

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1749806, encodeId=27061e49806e7, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Wed Oct 04 21:40:00 CST 2017, time=2017-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=233635, encodeId=d1c9233635e7, content=这个不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicUw7yoAI4gptl6B3VGw6WZrBwAOwx2SfiafGGQAR5HcSI6IZVGvkthHYWlxfSGeSMz7KiablPqmJhCFP8wLMk7JFEkIFg7iaveU/0, createdBy=4bd02015384, createdName=医望无涯, createdTime=Tue Aug 15 01:13:43 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1372230, encodeId=749713e2230f3, content=<a href='/topic/show?id=1a6de1930e8' target=_blank style='color:#2F92EE;'>#皮下注射#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71930, encryptionId=1a6de1930e8, topicName=皮下注射)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c838337, createdName=zhlpower, createdTime=Sat Aug 12 23:40:00 CST 2017, time=2017-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232469, encodeId=4afe2324699e, content=好好努力看下吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Fri Aug 11 12:23:11 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232431, encodeId=86592324312e, content=正确操作是治疗疾病预防并发症的保记, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Fri Aug 11 09:53:29 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232421, encodeId=4cc4232421a1, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Aug 11 09:19:43 CST 2017, time=2017-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232414, encodeId=a0ce23241474, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4mzqK7XHyH86ToibWNdzamnZozW6yiceXFib4QHq1lCOia34v7bgwXUIH1Rdnoqia2y6ibLX156v1xmicZw/0, createdBy=15891613430, createdName=xuexin53, createdTime=Fri Aug 11 08:53:15 CST 2017, time=2017-08-11, status=1, ipAttribution=)]
    2017-08-11 明月清辉

    谢谢分享,学习了

    0

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    2017-08-11 xuexin53

    学习

    0

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