Objective:To discuss the continuous subcutaneous insulin and methods in the treatment of multiple subcutaneous insulin treatment of diabetes in children,and to analyze the risk of different injection methods of care. Method:90 children with diabetes were divided into observation group and control group according to random number table method,each group had 45 cases. The observation group used continuous subcutaneous insulin and the control group used multiple insulin subcutaneously. Compared fasting and 2 h postprandial blood glucose before and after treatment,while recorded time of blood glucose and insulin usage,and registered nursing occurred during treatment risk groups,evaluated the effectiveness and risks of different injection methods for the treatment of diabetes. Result:After treatment,fasting blood glucose,postprandial 2 h blood glucose,blood glucose time,insulin used were(5.37 ± 5.77)mmol/L,(7.67 ± 0.86)mmol/L,(5.29 ± 1.12)d and(37.21 ± 2.09)U/d,compared with the control group,the differences had statistically significant. The observation group did not occur needlestick injuries,the dose errors,mistakes and injection equipment leakage case,there were 3 cases and 2 cases of hypoglycemia and the puncture site infection. The control group occurred needlestick injuries,dosing errors,error injection equipment,leakage,low blood sugar,and the puncture site infection 7,4,7,9,10 and 11 cases respectively. Nursing risks between two groups were compared,the difference was statistically significant(P<0.05). Conclusion:Compare with multiple subcutaneous continuous subcutaneous,can more effectively lower blood sugar,reduce the standard time,reduce insulin usage,and to avoid the risk of care is an effective method of injection treatment of diabetes.%目的：讨论持续胰岛素皮下注射和多次胰岛素皮下注射方法在治疗儿童糖尿病的疗效，并分析不同注射方法的护理风险。方法：将90例儿童糖尿病患者按随机数字表法分为观察组和对照组，每组各45例。观察组采用持续胰岛素皮下注射，对照组采用多次胰岛素皮下注射。比较两组在治疗前后的空腹血糖和餐后2h血糖，同时记录血糖达标时间和胰岛素使用量，并观察治疗期间两组发生的护理风险，以评价不同注射方法治疗糖尿病的效果和风险。结果：观察组治疗后的空腹血糖、餐后2h血糖、血糖达标时间、胰岛素使用量分别为（5.37±0.49）mmol/L、（7.67±0.86）mmol/L、（5.29±1.12）d和（37.21±2.09）U/d，与对照组比较差异均有统计学意义。观察组未发生针刺伤、剂量错误、注射用具错误和漏液情况，分别有3例和2例出现低血糖和穿刺点感染；对照组针刺伤7例、剂量错误4例、注射用具错误7例、漏液9例、低血糖10例和穿刺点感染11例，两组在护理风险方面比较差异有统计学意义（P<0.05）。结论：持续皮下注射相比于多次皮下注射，可以更有效的降低血糖，缩短达标时间、减少胰岛素使用量，并避免护理风险，是治疗糖尿病有效的注射方法。
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