动态血糖监测对应激性高血糖患者处置的意义

Significance of dynamic blood glucose monitoring on glycemic management in patients with stress hyperglycemia

目的:观察实时动态血糖监测(RT-CGMS)对应激性高血糖患者处理的意义。方法:APACHEⅡ评分>15分的重症监护室患者148例,随机分为动态血糖监测组(CGMS组,n=69)和指尖血糖监测组(GM组,n=79),比较2组患者的低血糖发生率、血糖变异度、ICU入住时间、多器官功能障碍综合征(MODS)发生率、28 d病死率。结果:CGMS组的血糖变异度、低血糖发生率、MODS发生率、病死率明显低于GM组(均P<0.05),ICU入住时间明显短于GM组(P<0.05)。结论:动态血糖监测能优化血糖控制,改善预后,降低病死率。

Objective：To observe the significance of real-time continuous glucose monitoring system （RT-CGMS） on glycemic management in patients with stress hyperglycemia.Methods：One hundred and forty-eight patients （APACHE Ⅱ ＞ 15）were randomly divided into real-time continuous glucose monitoring system group （CGMS group,n =69） and fingertip blood monitoring group （GM group,n =79）.Incidence of hypoglycemia,degree of glucose variability,days in ICU,incidence of multiple organ dysfunction syndrome （MODS）,28-day mortality were compared between the two groups.Results：The degree of glucose variability,incidence of hypoglycemia,incidence of MODS and mortality in CGMS group were significantly lower than those in GM group,and days in ICU was significantly shorter than that in GM group （P ＜ 0.05）.Conclusion：RT-CGMS can help the control of blood glucose,improve the prognosis and decrease the mortality.