中晚期妊娠糖尿病患者应用动态血糖监测系统的价值评估  

Value appraisal of the application of continuous glucose monitoring system in patients with advanced gestational diabetes mellitus

作　　者：谢翠华[1] 沈洁[1] 李际敏[1] 罗祥容[1] 符霞军[1] 

机构地区：[1]南方医科大学附属南方医院内分泌代谢科,广州510515

出　　处：《中国实用护理杂志（中旬版）》2008年第6期12-14,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨动态血糖监测系统在孕中晚期妊娠糖尿病（GDM）孕妇中的应用价值。方法对2006年1月-2007年4月门诊进行孕期健康检查的妊娠中晚期（24～35周）孕妇进行GDM的筛查，首先进行50g葡萄糖筛查试验，如1h血糖≥7．8mmol／L，则进一步于3d后行100g口服葡萄糖耐量试验。根据美阔糖尿病协会诊断标准．将筛香水的47例GDM孕妇随机分成2组。实验组25例行72h动态血糖监测（CGMS），对照组22例行72h指尖末梢血糖测试，7次／d（包括三餐前、三餐后及睡前）。结果所有GDM孕妇在监测过程中均无低血糖自觉症状及低血糖事件记录；CGMS数据显示实验组高血糖比为（17．5±3．1）％．低血糖比为（2．4±0．9）％，均明显高于对照组的（14．3±2．2）％及0。结论建议采用血糖仪行血糖自我监测的GDM孕妇，在进行指尖末梢血糖测试的同时定期进行CGMS血糖监测，系统评价真实血糖控制情况，确保母婴安全。Objective We aimed to describe the application value of continuous glucose monitoring system in patients with advanced gestational diabetes mellitus（GDM）. Methods Pregant women in the medium and late pregant phases （24-35 weeks） underwent GDM screen test from January 2006 to April 2007.They first received 50 g glucose challenge test and 100 g OGTT was performed 3 days later when the blood glucose was higher than or equal to 7.8 mmol/L.According to the diagnostic criteria from American Diabetes Mellitus （ADA） 47 women were diagnosed to possess GDM and they were further divided into the test group （25 cases） and the control group （22 cases）.The test group received 72 hours continuous glucose monitoring（CGMS）.The control group adopted peripheral blood glucose monitoring using blood from the fingertip, 7 times per day. Results There, were no records of consciousness hypo-glycemic symptoms and hypoglycemia during monitoring.The CGMS data suggested that the record of the percent of high blood glucose was （17.5±3.1）%,pereent of low hlood glucose was （2.4±0.9）%,which were higher than those of the control group,which were （14.3±2.2）% and 0. Conclusions We recommend pregant women with GDM to undergo CGMS while using peripheral blood glucose monitoring with blood from the fingertip.It could systemicly evaluate the real control condition of blood glucose and ensure the safety of both mothers and babies.

关 键 词：妊娠糖尿病 动态血糖监测系统 评估 

分 类 号：R473.5[医药卫生—护理学] R719.31[医药卫生—临床医学]