中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
8期
897-899
,共3页
实时动态血糖监测系统%胰岛素泵%强化治疗%糖尿病,2型%低血糖
實時動態血糖鑑測繫統%胰島素泵%彊化治療%糖尿病,2型%低血糖
실시동태혈당감측계통%이도소빙%강화치료%당뇨병,2형%저혈당
Continuous glucose monitors system%Insulin pump%Intensive therapy%Type 2 diabetes mellitus%Hypoglycemia
目的 探讨实时动态血糖监测系统在胰岛素泵强化治疗初发肥胖2型糖尿病患者低血糖规律中的应用,以指导临床治疗和护理.方法 573例住院初发肥胖2型糖尿病患者胰岛素泵强化治疗1周血糖稳定后,佩戴实时动态血糖监测系统72 h,收集数据,进行分析,探讨胰岛素泵强化治疗初发肥胖2型糖尿病患者的低血糖规律.结果 平均血糖与无症状低血糖、夜间低血糖发生率均呈双曲线负相关,餐后4h血糖与平均血糖呈直线正相关,晚餐后4h血糖值与夜间低血糖发生率呈指数曲线负相关.晚餐后4h血糖值4.5 mmol/L时夜间低血糖发生率达50%以上.结论 胰岛素泵强化治疗初发肥胖2型糖尿病患者的低血糖规律,可为胰岛素泵强化治疗而未佩戴实时动态血糖监测系统的初发肥胖2型糖尿病患者提供低血糖常见时段的参考,指导临床治疗和护理,具有重要的临床意义和社会经济效益.
目的 探討實時動態血糖鑑測繫統在胰島素泵彊化治療初髮肥胖2型糖尿病患者低血糖規律中的應用,以指導臨床治療和護理.方法 573例住院初髮肥胖2型糖尿病患者胰島素泵彊化治療1週血糖穩定後,珮戴實時動態血糖鑑測繫統72 h,收集數據,進行分析,探討胰島素泵彊化治療初髮肥胖2型糖尿病患者的低血糖規律.結果 平均血糖與無癥狀低血糖、夜間低血糖髮生率均呈雙麯線負相關,餐後4h血糖與平均血糖呈直線正相關,晚餐後4h血糖值與夜間低血糖髮生率呈指數麯線負相關.晚餐後4h血糖值4.5 mmol/L時夜間低血糖髮生率達50%以上.結論 胰島素泵彊化治療初髮肥胖2型糖尿病患者的低血糖規律,可為胰島素泵彊化治療而未珮戴實時動態血糖鑑測繫統的初髮肥胖2型糖尿病患者提供低血糖常見時段的參攷,指導臨床治療和護理,具有重要的臨床意義和社會經濟效益.
목적 탐토실시동태혈당감측계통재이도소빙강화치료초발비반2형당뇨병환자저혈당규률중적응용,이지도림상치료화호리.방법 573례주원초발비반2형당뇨병환자이도소빙강화치료1주혈당은정후,패대실시동태혈당감측계통72 h,수집수거,진행분석,탐토이도소빙강화치료초발비반2형당뇨병환자적저혈당규률.결과 평균혈당여무증상저혈당、야간저혈당발생솔균정쌍곡선부상관,찬후4h혈당여평균혈당정직선정상관,만찬후4h혈당치여야간저혈당발생솔정지수곡선부상관.만찬후4h혈당치4.5 mmol/L시야간저혈당발생솔체50%이상.결론 이도소빙강화치료초발비반2형당뇨병환자적저혈당규률,가위이도소빙강화치료이미패대실시동태혈당감측계통적초발비반2형당뇨병환자제공저혈당상견시단적삼고,지도림상치료화호리,구유중요적림상의의화사회경제효익.
Objective To investigate the regularity of hypoglycemia occurrence in the obese patients with type 2 diabetes accepting the insulin pump intensive therapy by applying the continuous glucose monitors. Methods The blood sugar levels of the 573 new-onset obese inpatients with type 2 diabetes were the stable one week after accepting the insulin intensive therapy were studied by applying continuous glucose monitors. The data were collected and analyzed to probe the regularity of hypoglycemia occurrence. Results The average blood sugar level was negatively correlated with the incidence rate of symptomless hypoglycemia and nocturnal hypoglycemia respectively. The 4 hour postprandial blood sugar level was positively correlated with the average blood sugar level and negatively correlated to the incidence rate of nocturnal hypoglycemia. The incidence rate of nocturnal hypoglycemia exceeded 50 percent when the 4 hour postprandial blood sugar was under 4.5 mmol/L. Conclusions The research of regularity of hypoglycemia occurrence in the obese patients of type 2 diabetes accepting the insulin intensive therapy may provide the reference of common time of hypoglycemia occurrence in the patients accepting the intensive therapy. The study can provide good instructions for the clinical treatment and nursing care and had great clinical significance and societal economic benefits.
