摘要
目的探讨采用快速血糖仪检测前臂毛细血管血糖的可行性。方法对67例2型糖尿病住院患者同期于空腹、餐后2 h、出现第1次低血糖时3个时间点采静脉血检测血浆血糖,同时使用快速血糖仪检测前臂和指尖毛细血管全血血糖;比较前臂、指尖两种不同采血方法测定血糖值的准确性以及患者对采血时的疼痛感。结果 3种方法的空腹、低血糖时血糖值差异无统计学意义(P>0.05),餐后2 h静脉血血糖值高于同期前臂、指尖所测血糖值,组间比较差异具有统计学意义(P<0.05);前臂采血比指尖采血的疼痛感低(P<0.01)。结论虽然前臂毛细血管血糖所反映的餐后2 h血糖值的准确性低于静脉血血糖值,但与指尖所测的血糖值无差异,且疼痛感明显轻于指尖部位,故前臂可作为检测血糖的采血部位。
Objective To explore the feasibility of rapid blood g, lucose monitor to check the blood glucose （BG） at forearm. Methods A total of 67 type 2 diabetic patients were recruited. Blood from the vein （method A） ,forearm （method B） and finger （method C） were respectively taken at fasting,2 postprandial hours and first hypoglycemia respectively, and the subjective pain sensation of needle prick was investigated simultaneously. Results The values of fasting and first hypoglycemia BG by the three methods had no statistically significance （ P 〉 0. 05 ）. The value of 2 postprandial hours BG of method A was significantly higher than BG of method B and C （ P 〈 0.05 ）. The degree of pain finger and forearm showed statistically significant difference （ P 〈 0.01 ）. Conclusion Although the accuracy of 2 postprandial hours BG by forearm is lower than by vein, the accuracy of forearm and finger is not significantly different, and checking at forearm is painless ,thus check the BG at forearm using the rapid blood glucose monitor is an ideal method for diabetes patients.
出处
《护理管理杂志》
2013年第5期377-378,共2页
Journal of Nursing Administration
基金
中华医学会护理学分会糖尿病管理与教育学组护理科研项目(2009)
关键词
前臂
指尖
静脉血浆
血糖
forearm
finger
venous plasma
blood glucose
