摘要
目的:探讨ICU危重患者末梢血糖监测的可靠性。方法:选取250例危重患者为研究对象,均同步采集实验室静脉血生化标本、动脉血气标本、末梢血糖标本。以静脉血生化检测的血糖值为标准对照,分析末梢血糖、动脉血糖值与静脉血生化检测的一致性。结果:末梢血糖、动脉血糖值与静脉血糖值存在高度相关性(r=0.861、0.926,P<0.05)。其中动脉血糖值与静脉血糖一致性好(Kappa=0.891,P<0.05)。末梢血糖中低血糖组与静脉血一致性差(Kappa=0.228,P<0.05),目标血糖和高血糖组与静脉血糖值一致性高(Kappa=0.871、0.764,P<0.05)。结论:当ICU危重患者的血糖≥4.4 mmol/L时,末梢血糖与动脉血糖与静脉血糖一致性高,均可用来指导血糖控制;但当患者血糖<4.4 mmol/L时,末梢血糖结果不能准确反映患者的血糖水平,可采用动脉血。
Objective:To investigate the reliability of peripheral blood glucose monitoring in critically ill patients in ICU.Methods:250 critically ill patients were selected as the study subjects.All the patients in this group were synchronously collected laboratory venous blood biochemical samples,arterial blood gas samples and peripheral blood sugar samples.The consistency of peripheral blood glucose,arterial blood glucose and venous blood biochemical test was analyzed by comparing the blood glucose value of venous blood biochemical test with the standard.Results:There was a high correlation between peripheral blood glucose,arterial blood glucose and venous blood glucose(r=0.861,0.926,P<0.05).The arterial blood glucose was in good agreement with venous blood glucose(Kappa=0.891,P<0.05).The consistency between hypoglycemia group and venous blood in peripheral blood glucose was poor(Kappa=0.228,P<0.05).The consistency between target blood glucose and hyperglycemia group and venous blood glucose was high(Kappa=0.871,0.764,P<0.05).Conclusion:When the blood glucose of ICU critical patients is more than 4.4 mmol/L,the consistency of peripheral blood glucose and arterial blood glucose with venous blood glucose is high,which can be used to guide blood glucose control.But when the blood sugar of patients is less than 4.4 mmol/L,the results of peripheral blood sugar can not accurately reflect the blood sugar level of patients,so arterial blood can be used.
作者
鲍珍
李润晓
周体
BAO Zhen;LI Run-xiao;ZHOU Ti(Department of Critical Care Medicine,Fourth Medical Center,General Hospital of PLA,Beijing 100048,China;Department of Nursing,Fourth Medical Center,General Hospital of PLA,Beijing 100048,China)
出处
《川北医学院学报》
CAS
2020年第1期140-143,共4页
Journal of North Sichuan Medical College
基金
解放军总医院第四医学中心院内项目(HLB-201517)。
关键词
ICU危重患者
末梢血糖
静脉血糖
动脉血糖
可靠性
ICU critical patients
Peripheral blood sugar
Venous blood sugar
Arterial blood sugar
Reliability
