动态血糖监测系统在Ⅱ型糖尿病患者中的应用和护理

目的：比较动态血糖监测系统（Continuous Glucose Monitoring System,CGMS）和传统血糖检测方法,并对CGMS在Ⅱ型糖尿病中应用和护理的情况进行观察分析。方法：对23例Ⅱ型糖尿病患者进行CGMS检测,患者均使用CGMS动态血糖仪连续测定血糖3天,同时每天测定末梢血糖浓度,两组数据进行校正和比较。结果：5例局部有少量出血,2例胶布固定处出现红肿,血糖值输入时出现错误3次,1例由于电流低报警2次,CGMS所测血糖值与末梢血糖值呈正相关（r=0.8742,P〈0.001）,发现凌晨高血糖12例,餐后血糖高峰值在餐后1.5~3 h出现,有12例患者血糖值有超出CGMS检测的高限或低限,发生低血糖事件20例次。结论：CGMS在糖尿病的诊断和治疗过程中均起着指导性的作用,但目前还不能完全替代传统的血糖检测方法。

The application and nursing of dynamic blood glucose monitoring system in patients with type II diabetes

Objective: To compare dynamic blood glucose monitoring system(Continuous Glucose Monitoring System,CGMS) with traditional glucose testing method,and to summary nursing of CGMS for type Ⅱdiabetes.Methods: 23 patients with type Ⅱ diabetes were monitored with CGMS and peripheral blood testing for three days.Two sets of data were calibrated and compared.Results:5 cases had local minimal hemorrhage,2 cases had red swollen at bandage sites.Blood sugar result input errors occurred 3 times and 1 case had low current alarm twice.The results from CGMS and traditional glucose testing method had positive correlation(r=0.8742,P<0.001).Using the CGMS,12 cases of hyperglycemia were tested in the early morning.The postprandial glucose peak value occurred between 1.5～3h postprandial.12 results were out of detection ranges either above the upper limit or below the lower limit.20 cases showed hypoglycemic events before meals or late at night.Conclusion: CGMS demonstrate values on diabetes diagnoses and monitoring during treatment.Howerer,at this stage,it can’t completely replace traditional glucose detection method.