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目的:比较较稳定的指尖血糖与动态血糖监测系统的血糖结果。方法:选择2008-06/2009-01内分泌科37例住院患者,在指尖血糖监测示血糖相对平稳后佩戴雷兰动态血糖(DGMS)。应用DGMS分析软件了解患者有无低血糖(<3.9mmol/L)、高血糖(>11.1mmol/L)、血糖漂移最大幅度。结果:血糖波动系数≤1.5组共9例,其中发生低血糖6例,高血糖2例,血糖漂移最大幅度为(6.82±1.85)mmol/L;>1.5组共28例,其中发生低血糖15例,高血糖25例,血糖漂移最大幅度为(10.9±3.22)mmol/L。两组比较,低血糖发生比例相近(P>0.05),发生高血糖及血糖漂移最大幅度在血糖波动系数>1.5组明显增多(均P<0.01),两组血糖漂移幅度最大患者均合并低血糖。结论:指尖血糖较好的患者仍须DGMS监测注意低血糖;高血糖和血糖漂移在血糖波动系数>1.5时显著增多;血糖漂移幅度越大越应注意有无低血糖。
OBJECTIVE: To compare the blood sugar results of the more stable fingertip blood glucose monitoring system and dynamic glucose monitoring system. Methods: Thirty-seven inpatients with endocrinology from June 2008 to January 2009 were selected, and Diabetes blue blood glucose (DGMS) was applied after fingertip blood glucose monitoring showed relatively stable blood glucose. Using DGMS analysis software to understand whether patients with hypoglycemia (<3.9mmol / L), hyperglycemia (> 11.1mmol / L), the maximum blood glucose drift. Results: There were 9 patients with blood glucose fluctuation ≤1.5, in which hypoglycemia occurred in 6 cases and hyperglycemia in 2 cases, with the maximum blood glucose excursion being (6.82 ± 1.85) mmol / L;> 1.5 cases with 28 cases, including hypoglycemia 15 Cases, hyperglycemia in 25 cases, the maximum amplitude of blood glucose drift (10.9 ± 3.22) mmol / L. The incidences of hypoglycemia and glycemic excursion in the two groups were similar (P> 0.05), and the maximum amplitude of hyperglycemia and glycemic excursion were significantly increased in> 1.5 group (all P <0.01). Both groups had the highest hypoglycemia . Conclusion: Patients with better fingertip blood glucose should still pay attention to the monitoring of hypoglycemia in DGMS. The hyperglycemia and glucose excursion are significantly increased when the blood glucose fluctuating coefficient is> 1.5. The more the blood glucose drifts, the more attention should be paid to whether there is hypoglycemia.