3302例住院糖尿病患者信息化血糖监测数据分析  

Analysis of 3302 information-based blood glucose monitoring cases of hospitalized diabetic patients

作　　者：李元美 喻荷淋[1] 付彩雯[1] 蒋莉[1] 吴艳[1] Li Yuanmei;Yu Helin;Fu Caiwen;Jiang Li;Wu Yan(Department of Endocrinology and Metabolism,Suining Central Hospital,Suining Sichuan 629000,China)

机构地区：[1]四川省遂宁市中心医院内分泌代谢病科,四川遂宁629000

出　　处：《保健医学研究与实践》2023年第9期41-44,共4页Health Medicine Research and Practice

基　　金：四川省中医药管理局科学技术研究专项课题(2020LC0215)。

摘　　要：目的 通过对我院住院糖尿病患者信息化血糖监测结果进行分析,评估我院住院患者的血糖控制情况。方法 收集我院住院糖尿病患者的信息化血糖监测数据,分别通过群体模型、人-时模型、个体模型统计分析信息化血糖监测值的平均水平、理想血糖占比、高血糖占比、严重高血糖占比、低血糖占比、严重低血糖占比,并比较内分泌科与非内分泌科住院患者上述指标的差异。结果 共收集3 302例糖尿病患者信息化快速床旁血糖监测值137 338个。群体模型共囊括137 338个血糖监测值;人-时模型共囊括33 309个血糖值;个体模型共囊括3 302个血糖值。在群体模型中,内分泌科住院糖尿病患者的平均血糖值、高血糖占比、严重高血糖占比均低于非内分泌科(P<0.05),理想血糖占比和低血糖占比均高于非内分泌科(P<0.05)。在人-时模型中,内分泌科住院糖尿病患者的平均血糖值、高血糖占比、严重高血糖占比均低于非内分泌科(P<0.05)。在个体模型中,内分泌科住院糖尿病患者的平均血糖值、理想血糖占比、高血糖占比、严重高血糖占比均低于非内分泌科(P<0.05)。结论 内分泌科住院患者的血糖控制情况优于非内分泌科住院患者,但整体住院糖尿病患者的理想血糖占比偏低,而高血糖占比较高,因此,需加强住院糖尿病患者尤其是非内分泌科住院糖尿病患者的血糖管理和控制。Objective This paper aims to evaluate the blood glucose control of hospitalized diabetic patients in our hospital by analyzing the results of information-based blood glucose monitoring.Methods The information blood glucose monitoring data of hospitalized diabetic patients in our hospital were collected.The average level of information blood glucose monitoring value,ideal blood glucose ratio,hyperglycemia ratio,severe hyperglycemia ratio,hypoglycemia ratio,and severe hypoglycemia ratio by group model,human-time model,and individual model were analyzed.The differences in the above indicators between the endocrinology department and non-endocrine department hospitalized patients were compared.Results A total of 137338 rapid bedside blood glucose monitoring values were collected from 3302 diabetic patients.The population model included 137338 glucose values;the person-time model 33309 glucose values;and the individual model 3302 glucose values.In the population model,the mean blood glucose value,proportion of hyperglycemia,and proportion of severe hyperglycemia in hospitalized diabetic patients in the endocrinology department were significantly lower than those in the non-endocrinology department(P<0.05),and the proportion of ideal blood glucose and proportion of hypoglycemia were significantly higher than those in the non-endocrinology department(P<0.05).In the human-time model,the mean blood glucose value,proportion of hyperglycemia,and proportion of severe hyperglycemia in hospitalized diabetic patients in the endocrinology department were significantly lower than those in the non-endocrinology department(P<0.05).In the individual model,the mean blood glucose value,ideal blood glucose ratio,hyperglycemia ratio,and severe hyperglycemia ratio of diabetic inpatients in endocrinology departments were significantly lower than those in non-endocrinology departments(P<0.05).Conclusion The blood glucose control of inpatients in the endocrinology department is superior to inpatients in non-endocrinology departments,but the

关 键 词：糖尿病 血糖管理 血糖监测 

分 类 号：R587.1[医药卫生—内分泌]