The method and nursing of subcutaneous insulin injection in a neonatal child with transient diabetes
一例新生儿短暂性糖尿病患儿皮下注射胰岛素的方法及护理

摘要

目的 探索一例6号染色体相关的新生儿短暂性糖尿病患儿胰岛素皮下注射的方法和护理。方法 天津市儿童医院2022年5月诊断的一例新生儿短暂性糖尿病，患儿入院后先持续静点胰岛素待血糖稳定后改为皮下注射胰岛素调节血糖；采取正确的注射方法同时对注射部位，做好相应的护理。结果 患儿由静脉输入胰岛素改成皮下注射胰岛素有了较好的疗效，精确有效地控制胰岛素用量，可以有效的稳定血糖水平。目前大的新生儿中心应用持续皮下胰岛素，但是对于基层新生儿中心给予间断皮下注射胰岛素不仅给家庭减少了住院费用，也能实时根据血糖精准有效地调整胰岛素用量。也因为此病的特殊短暂性，间断皮下注射胰岛素也是一种安全有效的方法。结论 采用1ml一次性使用无菌胰岛素注射器为患儿进行皮下注射的精准性高且便捷相比持续皮下注射从而降低了家庭的经济负担。

Abstract

Objective To explore the method and nursing of subcutaneous insulin injection in a neonatal child with chromosomal 6 related transient diabetes.
Methods In May 2022, a case of neonatal transient diabetes was diagnosed at Tianjin Children's Hospital. After the child was admitted to the hospital, insulin was continuously administered intravenously until the blood sugar stabilized, and then subcutaneous insulin injection was used to regulate blood sugar. Adopt the correct injection method and provide corresponding care for the injection site.
Results The change from intravenous insulin infusion to subcutaneous insulin injection in the child patient achieved better therapeutic effects. The precise and effective control of insulin dosage can effectively stabilize blood sugar levels. At present, large neonatal centers use continuous subcutaneous insulin. However, for grassroots neonatal centers, intermittent subcutaneous insulin injection not only reduces hospitalization costs for families but also enables precise and effective adjustment of insulin dosage in real time based on blood sugar levels. Also, due to the special and transient nature of this disease, intermittent subcutaneous insulin injection is also a safe and effective method.
Conclusion   The subcutaneous injection of children with a 1ml disposable sterile insulin syringe is highly accurate and convenient. Compared with continuous subcutaneous injection, it reduces the economic burden on the family.