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目的调查北京市2家大型综合性三级甲等医院自动生化分析仪和POCT血糖仪检测(监测)总量和血糖高值与低值的分布情况,分析可能存在的问题。方法根据2010版糖尿病诊断指南,收集2011~2014年解放军军事医学科学院附属医院(医院A)和解放军空军总医院(医院B)血糖浓度小于3.9mmol/L、3.9~7.2mmol/L、大于7.2mmol/L的检测数据,分析自动生化分析仪和POCT血糖仪检测(监测)总量和血糖高值与低值的分布。结果 2家医院2种检测模式的血糖检测总量逐年增长,且POCT检测量明显高于生化分析仪检测总量;2家医院POCT血糖检查总量增长率呈下降趋势,而A医院下降更加明显。A医院血糖高值和低值分别占到检测总量的17.71%~18.95%和1.37%~2.03%,B医院血糖高值和低值分别占到检测总量的15.45%~17.98%和1.20%~3.80%。结论 POCT血糖仪的检测已成为血糖检测的重要模式,增幅不大的血糖异常数据,却对应着持续增长的POCT检测总量。POCT血糖仪检测在临床上对患者是否需要血糖监测、监测多少次,值得相关专家关注及探讨。同时,医院应加强临床应用POCT血糖仪规范化及监测次数的管理。
Objective To investigate the detection and monitoring of automatic biochemical analyzer and POCT blood glucose meter in two large-scale comprehensive Grade-A hospitals in Beijing and the distribution of high and low values of blood sugar, and to analyze the possible problems. Methods According to the Guideline for Diagnosis of Diabetes 2010, the blood glucose concentrations of the PLA General Hospital (Hospital A) and PLA Air Force General Hospital (Hospital B) from 2011 to 2014 were less than 3.9mmol / L, 3.9 ~ 7.2mmol / L and more than 7.2mmol / L of the test data, analysis of automatic biochemical analyzer and POCT glucose meter detection (monitoring) and the distribution of high and low blood glucose values. Results The total amount of blood glucose test in two kinds of hospitals in two hospitals increased year by year, and the POCT test was significantly higher than that of biochemical analyzer. The total POCT blood glucose test showed a decreasing trend in the two hospitals, but the decrease in Hospital A was more obvious . A hospital high and low blood glucose values accounted for 17.71% ~ 18.95% and 1.37% ~ 2.03% of the total test, high and low blood glucose values of B Hospital accounted for 15.45% ~ 17.98% and 1.20% ~ 3.80%. Conclusion The detection of POCT blood glucose meter has become an important mode of blood sugar detection, with little increase of blood glucose abnormality data, but corresponding to the continuous increase of total POCT detection. POCT glucose meter test in patients with whether the need for blood glucose monitoring, monitoring how many times, it is worth the relevant experts attention and discussion. At the same time, the hospital should strengthen the clinical application of POCT glucose meter standardization and monitoring the number of management.