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持续葡萄糖监测技术在糖尿病患者中的应用

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目的:探究持续葡萄糖监测技术在糖尿病患者中的应用。方法:回顾性分析 2023 年 1-12 月六盘水市人民医院内分泌科住院及门诊就诊的 180 例糖尿病患者的临床资料。根据血糖监测方法的不同将其分为对照组和观察组,各 90 例。对照组实施指尖血糖监测,观察组实施持续葡萄糖监测技术。比较两组血糖水平,血糖达标情况,血糖波动情况,胰岛素用量,低血糖情况。结果:观察组午餐、晚餐前后血糖值均低于对照组,差异有统计学意义(P<0。05)。观察组平均血糖值低于对照组,血糖在目标范围内的时间(TIR)高于对照组,差异有统计学意义(P<0。05)。两组最大血糖波动幅度(LAGE)比较,差异无统计学意义(P>0。05);观察组四分位区间(IQR)、十分位数区间(IDR)均小于对照组,差异有统计学意义(P<0。05)。观察组日均胰岛素用量明显少于对照组,差异有统计学意义(t=4。849,P<0。001)。观察组低血糖发生率为18。89%,低于对照组的 42。22%,差异有统计学意义(P<0。05)。结论:糖尿病患者实施持续葡萄糖监测的效果优于指尖血糖监测,血糖波动减少,胰岛素用量降低。
Application of Continuous Glucose Monitoring Technology in Patients with Diabetes
Objective:To explore the application of continuous glucose monitoring technique in diabetic patients.Method:The clinical data of 180 patients with diabetes who were inpatients and outpatients in Endocrinology Department of Liupanshui People's Hospital from January to December 2023 were retrospectively analyzed.They were divided into control group and observation group according to different blood glucose monitoring methods,90 cases in each group.Fingertip blood glucose monitoring was performed in control group,and continuous glucose monitoring was performed in observation group.Blood glucose level,blood glucose attainment condition,blood glucose fluctuation condition,insulin dosage and hypoglycemia condition were compared between the two groups.Result:The blood glucose levels before and after lunch and dinner in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The average blood glucose value in the observation group was lower than that in the control group,and the time of blood glucose in the target range(TIR)was higher than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in maximum blood glucose fluctuation(LAGE)between the two groups(P>0.05).The interquartile interval(IQR)and decile interval(IDR)in the observation group were smaller than those in the control group,and the differences were statistically significant(P<0.05).The average daily insulin consumption in the observation group was significantly lower than that in the control group,and the difference was statistically significant(t=4.849,P<0.001).The incidence of hypoglycemia in the observation group was 18.89%,which was lower than 42.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of continuous glucose monitoring in diabetic patients is better than that of fingertip blood glucose monitoring,which can reduce blood glucose fluctuation and insulin dosage.

DiabetesFingertip blood glucose monitoringContinuous glucose monitoringBlood glucose management

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六盘水市人民医院 贵州 六盘水 553000

糖尿病 指尖血糖监测 持续葡萄糖监测 血糖管理

六盘水市科技计划项目

52020-2023-0-1-66

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(19)