住院糖尿病患者床旁血糖监测数据分析

发布时间：2019-03-17 10:46

【摘要】：目的通过高精度、大样本量的床旁血糖监测数据分析,评价住院糖尿病患者血糖的变化趋势。方法基于Nova信息化血糖管理系统,采用Population、Patient-day和Patient 3种模型分析住院糖尿病患者的血糖分布、高血糖、低血糖情况。结果 Population模型中,住院糖尿病患者理想血糖达标率仅25.0%,高血糖达27.7%,住院治疗后高血糖发生率由41.0%降至15.8%。Patient模型中,23.5%的糖尿病患者在住院期间发生低血糖,严重低血糖者占4.4%。Patient-day模型中低血糖及严重低血糖发生率分别为4.2%和0.6%。仅1.5%的患者发生低血糖≥4d,3.2%的患者发生低血糖≥4次。午餐前低血糖发生率为19.18%(Patient模型),夜间低血糖发生率为1.45%(Patient模型)。结论住院糖尿病患者理想血糖占比低,高血糖占比高,经治疗后高血糖占比下降。低血糖事件以一过性居多,部分患者出现严重低血糖,午餐前和夜间低血糖高发。夜间血糖监测密度最低,但低血糖事件发生频率最高。
[Abstract]:Objective to evaluate the trend of blood glucose changes in inpatients with diabetes mellitus by analyzing the data of high precision and large sample size monitoring of bedside blood glucose. Methods based on Nova information-based blood glucose management system, Population,Patient-day and Patient models were used to analyze the blood glucose distribution, hyperglycemia and hypoglycemia of inpatients with diabetes mellitus. Results in the model of Population, the ideal rate of blood glucose was only 25.0% and the rate of hyperglycemia was 27.7%. The incidence of hyperglycemia was decreased from 41.0% to 15.8%.Patient model. 23.5% of diabetic patients developed hypoglycemia during hospitalization. The incidence of hypoglycemia and severe hypoglycemia in 4.4%.Patient-day model were 4.2% and 0.6%, respectively. Only 1.5% patients developed hypoglycemia 鈮，

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