动态血糖监测对老年糖尿病患者治疗及护理的影响  

The Influence of Dynamic Blood Glucose Monitoring on Treatment and Nursing of Aged Diabetic Patients

作　　者：刘广业[1] 葛秀荣[1] 任玲[1] 赵树娥[1] 

机构地区：[1]山东省立医院保健内分泌科,济南250021

出　　处：《中国康复》2007年第4期281-282,共2页Chinese Journal of Rehabilitation

摘　　要：目的:观察动态血糖仪监测血糖对老年糖尿病患者治疗及护理的影响。方法:老年糖尿病患者58例,随机分为监测组与常规组各29例,监测组应用动态血糖仪连续测定72 h血糖,常规组应用微量血糖仪常规测定血糖3 d。根据2组血糖测定结果调整治疗方案,并给予相应的健康指导。结果:经过平均(13.3-18.2)d的住院治疗,与入院时比较,2组患者血糖控制均有效,但监测组优于常规组;出院时监测组血糖值和糖化血清蛋白明显低于常规组,低血糖的发生率明显减少,平均住院天数显著缩短,糖尿病知识明显增加(均P<0.05)。结论:动态血糖监测能更精确的调理患者的用药量,对老年糖尿病患者的治疗、预防及健康教育具有重要的指导作用。Objective： To investigate the influence of dynamic blood glucose monitoring by continuous glucose monitoring system （CGMS） on treatment and nursing of aged diabetic patients. Methods： Fifty-eight aged patients with diabetic mellitus were randomly divided into monitoring group and control group （29 cases in each group）. The blood glucose in monitoring group and control group was monitored by using CGMS for 72 h and by blood sugar microanalysis instrument for 3 days respectively. According to the blood glucose levels measured, the oral antidiabetic drugs were adjusted and corresponding health directions were conducted. Results： Blood glucose levels in two groups were effectively controlled, but more satisfactory effects were obtained in monitoring group. Blood glucose and HbAlc levels in monitoring group were obviously lower than in control group when discharging （P〈0. 05）. The incidence of hypoglycaemia in monitoring group was reduced obviously as compared with that in control group （P〈0. 05）. Average hospital stay in monitoring group was shorter than in control group （P〈0.05）. Knowledge about diabetes was increased evidently in monitoring group （P〈0.05）. Choice of the oral antidiabetic drugs in monitoring group were superior to that in control group. Conclusion： CGMS can more accurately adjust the dosage of oral antidiabetic drugs.

关 键 词：动态血糖 糖尿病 老年 监测 

分 类 号：R473.5[医药卫生—护理学]