实时动态血糖监测与静脉血糖、毛细血管血糖检测的相关性
실시동태혈당감측여정맥혈당、모세혈관혈당검측적상관성
Correlation of real-time continuous monitoring system with venous glucose and capillary glucose values
  • 万方数据
    中华医学杂志 중화의학잡지
    National Medical Journal of China
    2010年 42期 2971-2975 ,共5页

    李强%王莹莹%于萍%高萍%邬艳慧%崔璨%王薇%陈莉丽%乔虹%王丽宏%项莹%张众%张巾超

    리강%왕형형%우평%고평%오염혜%최찬%왕미%진리려%교홍%왕려굉%항형%장음%장건초

    糖尿病%血糖自我监测%血糖波动 糖尿病%血糖自我鑑測%血糖波動
    당뇨병%혈당자아감측%혈당파동
    Diabetes mellitus%Boold glucose self monitoring%Boold glucose fluctuation
    目的 研究实时动态血糖监测系统(RT-CGMS)与静脉血糖、毛细血管血糖检测的相关性.方法 收集2009年8至12月在哈尔滨医科大学附属第二医院治疗的33例糖尿病患者佩戴5 dRT-CGMS,期间测定静脉和毛细血管血糖值.应用相关分析、Clarke误差表格分析、Bland-Altman分析比较RT-CGMS与静脉血糖及毛细血管血糖的相关性;计算患者佩戴RT-CGMS期间的平均血糖波动幅度(MAGE).结果 (1)RT-CGMS与静脉、毛细血管血糖值的相关系数分别为0.936和0.933(均P<0.01).(2)Clarke误差表格分析显示静脉组和毛细血管组分别有98.67%和98.64%的点位于A区(临床准确区)与B区(临床可接受区);没有点位于C区(数据误差区);分别有1.33%和1.36%的点位于D区(数据错误区).(3)Bland-Altman分析RT-CGMS与静脉血糖、毛细血管血糖值在(x)±1.96范围内.(4)MAGE相同的患者HbA1c差异较大.结论 RT-CCMS与静脉血糖、毛细血管血糖检测具有良好的相关性、准确性和一致性.
    목적 연구실시동태혈당감측계통(RT-CGMS)여정맥혈당、모세혈관혈당검측적상관성.방법 수집2009년8지12월재합이빈의과대학부속제이의원치료적33례당뇨병환자패대5 dRT-CGMS,기간측정정맥화모세혈관혈당치.응용상관분석、Clarke오차표격분석、Bland-Altman분석비교RT-CGMS여정맥혈당급모세혈관혈당적상관성;계산환자패대RT-CGMS기간적평균혈당파동폭도(MAGE).결과 (1)RT-CGMS여정맥、모세혈관혈당치적상관계수분별위0.936화0.933(균P<0.01).(2)Clarke오차표격분석현시정맥조화모세혈관조분별유98.67%화98.64%적점위우A구(림상준학구)여B구(림상가접수구);몰유점위우C구(수거오차구);분별유1.33%화1.36%적점위우D구(수거착오구).(3)Bland-Altman분석RT-CGMS여정맥혈당、모세혈관혈당치재(x)±1.96범위내.(4)MAGE상동적환자HbA1c차이교대.결론 RT-CCMS여정맥혈당、모세혈관혈당검측구유량호적상관성、준학성화일치성.
    Objective To study the correlation of real-time continuous monitoring system (RT-CGMS) with venous glucose and capillary glucose values. Methods A total of 33 diabetics received RT-CGMS for 5 days. Fasting venous glucose values were measured at Days 1, 3 and 5 and capillary glucose values recorded 7 times daily. The methods of correlation coefficient, error grid analysis(EGA) and BlandAltman analysis were employed to assessed the correlation, accuracy and agreement of RT-CGMS with venous glucose and capillary glucose values respectively. The mean amplitude of glucose excursions (MAGE) was calculated during RT-CGMS testing periods. Results (1) The correlation coefficient of RT-CGMS with vein glucose and capillary glucose values were 0. 936, 0. 933 (P < 0. 01); (2) The analysis results of EGA showed that 98. 67%, 98. 64% of venous and capillary values fell in the A and B zones and 1. 33%,1.36% fell in the D zone; (3) The agreement analysis showed that RT-CGMS readings were in close agreement with venous glucose and capillary glucose results; (4) The patients at the same M AGE levels had obvious differences in HbAlC. Conclusion There is a high level of correlation, accuracy and agreement between RT-CGMS and venous glucose and capillary glucose values.
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