我国三级甲等医院床旁血糖监测应用与管理现状调查  

Bedside blood glucose monitoring intertiary hospitals in China:A questionnaire survey

作　　者：傅晓莹[1] 文玉琼[1] 张舒婷[1] 赖水青[1] 陈红梅[1] 侯铁英[2] 邝建[1] 

机构地区：[1]广东省人民医院内分泌科,广州510080 [2]广东省人民医院检验科,广州510080

出　　处：《中国糖尿病杂志》2017年第9期787-791,共5页Chinese Journal of Diabetes

摘　　要：目的调查分析我国医院床旁血糖监测的临床应用和管理现状。方法采用委托问卷方式,调查我国三级甲等医院(下称"三甲医院")及所属内分泌代谢/糖尿病科的床旁血糖监测使用情况。结果 2015年7~10月问卷调查2014年全国1152家三甲医院,818家医院完成问卷。所调查医院平均拥有2种或以上(1~10种)品牌床旁血糖仪,血糖试纸年消耗中位数15万片;55.2%的内分泌代谢/糖尿病科,使用同品牌血糖仪,约10.0%的科室定期或不定期更换血糖仪品牌;91.2%的科室由护士操作床旁血糖仪,7.3%由多类别人员操作;65.0%的科室每月进行室内质控,每日室内质控仅占9.4%;67.8%的质控由厂家维护人员进行;96.2%的科室采用单纯纸质记录或人工输入电脑,仅4.0%(33/818)正在使用具有身份识别且数据自动同步HIS/LIS功能的床旁血糖监测系统。结论床旁血糖监测在我国三甲医院广泛应用。但绝大部分医院床旁血糖监测仪与普通自我血糖监测(SMBG)血糖仪无异,血糖仪缺乏恰当的室内质控;同时血糖数据缺乏自动化身份识别和系统管理,与国家2010年制订的管理和操作规范基本要求还存在较大差距。Objective To investigate the current situation of bedside blood glucose monitoring in tertiary hospitals in China. Methods A questionnaire survey was conducted in Endocrinology and Metabolism departments of tertiary hospitals in China. Results A total of 1152 tertiary hospitals were selected in this questionnaire survey about the bedside blood glucose monitoring in 2014 from July, 2015 to October, 2015. Among them, 818 hospitals completed the survey. The median number of bedside glucometer brands in each hospital was 2（1-10）. A median number of 150,000 blood glucose test strips were consumed annually. 55.2 % of Endocrinology/Diabetes department used the same brand glucometers, and 10.0% of Endocrinology/Diabetes department changed brands of glucometers periodically or randomly. Glucometers were operated by nurses in 91.2% department and by other personnel in 7.3% department. Internal quality control was carried out per month in 65.0% departments,and per day in only 9.4% departments. Factory maintenance personnel performed 67. 8% of the internal quality controls. Glucose results were recorded on paper or computer manually in 96.2% departments. Bedside blood glucose monitoring systems automated linked to HIS/LIS was adopted in only 4.0% （33/818）of all the hospitals. Conclusion Bedside blood glucose monitoring is widely applied in tertiary hospitals in China.However,most current bedside glucometers are just similar as SMBG devices. Bedside blood glucose monitoring is lack of internal quality control, automatically identification and systematically management, which revealed a deep gap between it and the basic requirements from the Bedside Blood Glucose Meter Management and Clinical Operation Standard of Medical Institutions （Trial） issued by Ministry of Health in 2010.

关 键 词：医院 床旁血糖监测 问卷调查 

分 类 号：R587.1[医药卫生—内分泌]