全身水肿患者不同部位快速床旁血糖测定结果的比较研究

Compared study of rapid bedside determination of blood glucose from different areas of anasarca patients

目的探讨全身水肿患者快速床旁血糖测定部位。方法选择26例全身水肿患者,采用自身对照研究方法比较指腹、耳垂及静脉血共234个血糖测定结果,分析指腹、耳垂与静脉血血糖之间关系。结果全身水肿患者快速床旁血糖测定显示指腹血糖值较耳垂及静脉血糖值高,差异有统计学意义(P<0.01);耳垂血糖值与静脉血糖值更为接近(P>0.05),差异无统计学意义。结论对全身水肿患者临床快速床旁血糖测定部位选择时,耳垂部位测定血糖更适合全身水肿患者,更接近患者实际血糖值。

Objective To explore the rapid bedside measurement site of blood glucose for patients with anasarca.Methods Twentysix patients with anasarca were selected,get 234 results of blood glucose in finger pulp,earlobe and the venous of them,and compare the blood glucose relationship of those areas using self-control method.Results The rapid bedside blood glucose test showed that the blood glucose in finger pulp was higher than the earlobe and the venous,the difference was statistically significant（ P〈0.01）. There was no significant difference of blood glucose between the earlobe and the venous（ P〉0.05）.Conclusion When deciding the blood glucose measurement site of patients with anasarca,the earlobe is more suitable,closer to actual blood glucose values.