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危重患者持续静静脉血液滤过时血糖监测的影响因素研究 被引量：6

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摘要 目的观察危重患者持续静静脉血液滤过(CVVH)过程中血糖监测的影响因素。方法选择CVVH治疗的危重患者30例,根据其入选时的循环状态将患者分为休克组和非休克组,同时监测两组患者动脉血糖、末梢血糖及CVVH导管动脉端血糖,比较同一时点各部位血糖监测值。结果所有患者动脉血糖值与末梢血糖值比较有显著差异(P<0.05),动脉血糖值与CVVH导管动脉端血糖值差异无统计学意义(P>0.05),且二者存在明显相关性(r=0.989,P<0.001),末梢血糖值与CVVH导管动脉端血糖值差异有统计学意义(P<0.05);休克组末梢血糖值较动脉血糖值低,差异有统计学意义(P<0.05),非休克组末梢血糖值与动脉血糖值差异无统计学意义(P>0.05)。结论危重患者末梢血糖监测值偏低,该差异在休克患者中更加明显;CVVH时可通过导管动脉端采血监测血糖。
作者 虞竹溪 顾勤 刘宁 杨朴强
机构地区 南京大学医学院附属鼓楼医院ICU
出处 《中国呼吸与危重监护杂志》 CAS 2010年第1期85-87,共3页 Chinese Journal of Respiratory and Critical Care Medicine
基金 南京市卫生局科研基金资助项目(编号:YKK06091)
关键词 持续静静脉血液滤过 危重症 血糖监测
分类号 R459.7 [医药卫生—急诊医学]
  • 相关文献

参考文献14

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二级参考文献19

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共引文献162

同被引文献63

引证文献6

二级引证文献26

中国呼吸与危重监护杂志
2010年 第1期

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