动态血糖监测系统的临床应用

Study on preliminary performance of continuous glucose monitoring system in diabetic patients

  • 摘要: 目的: 评价Minimed动态血糖监测系统(CGMS)在血糖监测中的精确性及对糖尿病治疗措施调整的指导作用。方法: 对行CGMS检查的37例糖尿病患者的46例次完整资料进行分析,用误差表格分析等分析CGMS血糖值和自我血糖监测(SGMS)血糖值之间的相关性、一致性,评价CGMS的精确性相关指标。结果: ①患者行CGMS检查的耐受性良好。②在总体水平,以及高、中血糖水平,CGMS血糖值与SGMS血糖值的相关性良好。③误差表格分析显示,99.8%的结果在A区和B区,提示CGMS在血糖监测方面误差较小。④根据CGMS检查结果,可以针对性制定治疗方案,并且能够取得较好的治疗效果。结论: CGMS在血糖监测方面有获取信息量大、精密度高以及可以指导治疗、制定针对性措施等优点。

     

    Abstract: Objective: To evaluate the accuracy of Medtrnoic-MiniMed Continuous Glucose Monitoring System (CGMS) in blood glucose measurement and it′s instructral virtue in diabtetes treatment,compared with blood glucose self-monitoring (BGSM). Methord: Totally 46 CGMS data of 37 diabetic patients were analyisized with correlation analysis and error grid analysis to assess the correlation and coincidence between CGMS glucose values and BGSM glucose values. Results: 1.The CGMS was well toleranced in all patients. 2.The correlation and coincidence between CGMS glucose values and SGMS glucose values were favorable in all blood glucose levels. 3.Error gride analysis showed that 99.8% CGMS glucose values falled in A and B zone,and indicated that the error between CGMS glucose values and BGSM glucose values was little. 4.In some diabetic patients, optimal treatment could be done according to much more valuable information that the CGMS offered. Conclusion: In blood glucose monitoring, CGMS have some predominances, such as offering much more information about blood glucose excursion, better accuracy, and instructral virtue on diabetic treatment.

     

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