动态血糖监测系统在Ⅱ型糖尿病患者中的应用和护理

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

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。

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,P0.001）.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.