ICU患者胰岛素泵治疗过程中使用实时动态血糖监测的价值分析

发布时间：2018-01-03 09:55

  本文关键词：ICU患者胰岛素泵治疗过程中使用实时动态血糖监测的价值分析　出处：《重庆医学》2017年31期 　论文类型：期刊论文

  更多相关文章： 重症监护室 血糖 实时动态监测

【摘要】：目的探讨重症监护室(ICU)患者胰岛素泵治疗过程中使用实时动态血糖监测的价值。方法本研究选取2015年2月至2016年2月该院ICU收治的62例由于自身血糖出现异常,需要使用胰岛素进行干预治疗的患者。将患者分为对照组和观察组,各31例。对照组使用指尖法进行血糖测定,同时使用微量泵将胰岛素持续注入静脉中进行治疗;观察组使用实时动态血糖监测系统对血糖进行测定。结果两组患者均完成相关研究,无剔除和脱落患者。在达到目标血糖水平的时间、治疗总时间、胰岛素用量和低血糖发生率方面,观察组均优于对照组,差异有统计学意义(P0.05);观察组患者第3天时的日内平均血糖(MBG)、日内平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)、血糖水平标准差(SDBG)及血糖漂移时间百分比(TBG≥7.8mmol/L及TBG≤3.9mmol/L)均较第1天显著下降(P0.05);两种监测方法呈显著的正相关性(r=0.97,P=0.006)。结论 ICU患者使用实时动态血糖监测系统,能够显著降低患者的血糖水平,安全有效。
[Abstract]:Objective to explore ICU in intensive care unit (ICU). The value of real-time dynamic blood glucose monitoring in the course of insulin pump therapy methods 62 ICU patients admitted to our hospital from February 2015 to February 2016 had abnormal blood glucose. Patients in need of insulin intervention. The patients were divided into control group and observation group, 31 cases each. The control group used fingertip method to measure blood glucose. At the same time, insulin was continuously injected into the vein with micropump for treatment. The observation group used real-time dynamic blood glucose monitoring system to measure the blood sugar. Results the two groups of patients completed the related studies, no removal and exfoliation. At the time of reaching the target blood glucose level, the total time of treatment. The dosage of insulin and the incidence of hypoglycemia in the observation group were better than those in the control group, and the difference was statistically significant (P 0.05). In the observation group, the mean intraday blood glucose (MBG), the fluctuation range of intraday blood glucose (MAGEG), and the mean absolute difference in daytime blood glucose (MODDD) were observed on the 3rd day. The standard deviation of blood glucose level (SDBG) and the percentage of blood glucose drift time (TBG 鈮，

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