糖尿病患者治疗中瞬感扫描式动态葡萄糖监测系统的应用价值探讨

Application Value of Instantaneous Scanning Dynamic Glucose Monitoring System in the Treatment of Patients with Diabetes Mellitus

目的:探讨糖尿病患者治疗中瞬感扫描式动态葡萄糖监测系统的应用价值。方法:选取2019年10月-2020年1月本院收治的50例糖尿病患者为研究对象,按随机数字表法将其分为对照组和研究组,各25例。对照组应用传统手指采血监测血糖变化,研究组应用瞬感扫描式动态葡萄糖监测系统。比较两组治疗前后血糖水平,血糖控制各阶段时间、血糖达标时间、胰岛素用量、人均低血糖次数及满意情况。结果:治疗后,研究组糖化血红蛋白(HbA1c)、空腹血糖(FPG)及餐后2 h血糖(2 h PBG)均低于对照组(P<0.05)。研究组血糖观察期、胰岛素用量调整期、血糖与胰岛素用量稳定期及血糖达标时间均短于对照组(P<0.05)。研究组胰岛素用量与人均低血糖次数均低于对照组(P<0.05)。研究组满意评分高于对照组(P<0.05)。结论:在糖尿病患者治疗中应用瞬感扫描式动态葡萄糖监测系统的效果理想,能够更好地监测患者血糖变化,从而对胰岛素使用剂量做出调整,降低治疗期间低血糖的发生,同时该种检测方式不需要频繁对患者指尖进行采血,提高了患者的满意度,临床上应当进一步推广应用。

Objective:To explore the application value of the instantaneous scanning dynamic glucose monitoring system in the treatment of patients with diabetes mellitus.Method:A total of 50 patients with diabetes mellitus admitted to our hospital from October 2019 to January 2020 were selected as the study objects.According to the random number table method,they were divided into control group and study group,25 cases in each group.In the control group,blood glucose was monitored by traditional finger blood collection,while the study group was monitored by instantaneous scanning dynamic glucose monitoring system.The blood glucose levels before and after treatment,time of each stage of blood glucose control,time of blood glucose normalization,insulin dosage,times of hypoglycemia per capita and satisfaction of the two groups were compared.Result:After treatment,glycosylated hemoglobin(HbA1c),fasting blood glucose(FPG)and 2 h postprandial blood glucose(2 h PBG)in the study group were lower than those in the control group(P<0.05).The observation period of blood glucose,adjustment period of insulin dosage,stable period of blood glucose and insulin dosage and time of blood glucose normalization in the study group were lower than those in the control group(P<0.05).Insulin dosage and times of hypoglycemia per capita in the study group were lower than those in the control group(P<0.05).The satisfaction score of study group was higher than that of control group(P<0.05).Conclusion:The effect of instantaneous scanning dynamic glucose monitoring system in the treatment of patients with diabetes mellitus is ideal,which can better monitor the changes of blood glucose in patients,so as to adjust the dosage of insulin,and reduce the occurrence of hypoglycemia during the treatment.At the same time,this detection method does not need to take blood from patients’fingertips frequently,which improves patients’satisfaction,and should be further promoted in clinical practice application.