动态血糖监测在中晚期妊娠糖尿病中的应用

Glucose monitoring in late pregnancy diabetes

目的:探讨动态血糖监测在中晚期妊娠糖尿病患者中的临床应用。方法:选取2009年2月～2012年8月我院治疗的68例中晚期妊娠糖尿病患者,随机分为动态血糖监测系统(CGMS)组和指端毛细血管监测组(对照组),各34例,分别采用动态血糖系统监测和指端毛细血管监测,对比两组患者的血糖监测结果和CGMS监测组患者的血糖分布情况。结果:CGMS监测组的总高血糖次数和总低血糖次数均多于对照组,差异具有统计学意义(P<0.05);两组晚餐后2h血糖、空腹血糖、早餐后2h血糖、午餐后2h血糖比较差异均无统计学意义(P>0.05);中晚期妊娠糖尿病患者血糖水平以4.1～7.8mmol/L居多,占63.24%,低血糖以15:00-18:00时段发生频率最高,高血糖以午餐后最高。结论:动态血糖监测与指端毛细血管血糖监测结果呈显著相关,且易发现低血糖和高血糖的发生时间段,从而为临床治疗提供了可靠依据。

Objective：To apply glucose monitoring in patients with gestational diabetes late.Methods：A total of 68cases with late gestational diabetes treated in our hospital during February 2009to August 2012were randomly divided into fingertip capillary monitoring group and dynamic blood glucose monitoring group（CGMS group）,with 34cases in each group.Blood glucose levels were monitored and compared between the two groups.Results：In CGMS group,total number of total hyperglycemia and hypoglycemia frequency was significantly higher than that in the control group of patients（P0.05）;2hglucose after dinner,fasting blood glucose,blood sugar 2hafter breakfast,after lunch,2hplasma glucose were not significantly different between the two groups（P0.05）;in late pregnancy diabetes,levels of 4.1-7.8mmol/L were majority cases,accounting for 63.24%,while hypoglycemia mainly presented during 3-6pm with the highest frequency,high blood sugar to the highest after lunch.Conclusion：Glucose monitoring and fingertip capillary blood glucose monitoring results showed a significant correlation,but it ＇s easier to detect occurrence of hypoglycemia and hyperglycemia,this provide a reliable basis for clinical treatment.