CAJ | 학술논문

目的探讨血糖监测时有效减轻指端采血疼痛的方法. 方法对130例2型糖尿病患者在不同时间进行6次血糖监测,即分别在中指指腹中央、中指指腹顶端、无名指指腹中央、无名指指腹侧面4个不同部位采血,以及按压合谷穴的同时在中指指腹顶端采血和按压合谷穴1 min后在中指指腹顶端采血.每次采血后应用数字分级疼痛评估量表对疼痛进行评估,比较不同采血方法患者的痛感变化. 结果不同采血方法的疼痛评分差异有统计学意义(x2 =164.83,P＜0.05),在无名指指腹侧面采血时,患者疼痛评分较高,而按压合谷穴后轻度疼痛的患者所占比例明显增多.两两比较结果显示,按压合谷穴同时和按压合谷穴1 min后采血与直接采血的差异有统计学意义(均P＜0.05);按压合谷穴1 min后比按压同时采血疼痛减轻程度更显著,轻度疼痛者占的比例更大(x2＝10.44,P＜0.01);而其他部位之间的疼痛评分差异无统计学意义(均P＞0.05). 结论按压合谷穴采血可有效减轻指端采血疼痛,按压1 min后采血疼痛减轻程度更明显.
목적 탐토혈당감측시유효감경지단채혈동통적방법. 방법 대130례2형당뇨병환자재불동시간진행6차혈당감측,즉분별재중지지복중앙、중지지복정단、무명지지복중앙、무명지지복측면4개불동부위채혈,이급안압합곡혈적동시재중지지복정단채혈화안압합곡혈1 min후재중지지복정단채혈.매차채혈후응용수자분급동통평고량표대동통진행평고,비교불동채혈방법환자적통감변화. 결과 불동채혈방법적동통평분차이유통계학의의(x2 =164.83,P＜0.05),재무명지지복측면채혈시,환자동통평분교고,이안압합곡혈후경도동통적환자소점비례명현증다.량량비교결과현시,안압합곡혈동시화안압합곡혈1 min후채혈여직접채혈적차이유통계학의의(균P＜0.05);안압합곡혈1 min후비안압동시채혈동통감경정도경현저,경도동통자점적비례경대(x2＝10.44,P＜0.01);이기타부위지간적동통평분차이무통계학의의(균P＞0.05). 결론 안압합곡혈채혈가유효감경지단채혈동통,안압1 min후채혈동통감경정도경명현.
Objective To explore the method to relieve fingertip pain in monitoring fingertip blood glucose.Methods A total of 130 newly admitted patients with type 2 diabetes received glucose monitoring 6 times daily at different time points.Blood sampling was taken from different sites including the central and top of middle finger pulp,central and side of ring finger pulp,top of middle finger with pressing the acupoint of Hegu at the same time or pressing acupoint of Hegu for 1 minute before blood taking.Pain degree was assessed by numeric rating scale after blood glucose taking.Pain scores were compared among the different methods.Results There were significant differences in pain scores between different methods (x2 =164.83,P＜0.05).Pain score was higher in sampling blood on the side of ring finger pulp,while the proportion of subjects with mild pain after pressing Hegu was increased significantly.There were significant differences in pain scores between subjects with versus without pressing Hegu (all P＜0.05).Pain degree was reduced more significantly by pressing Hegu for 1 minute before blood taking than pressing Hegu at the same time of sampling blood,and the former had a higher proportion of subjects with only mild pain than the latter (x2 =10.44,P＜0.01).There were no significant differences in pain scores between the other methods (all P＞ 0.05).Conclusions Pressing Hegu can effectively reduce fingertip pain in fingertip blood glucose monitoring,and pressing Hegu for 1 minute before blood taking is more effective.