研究床旁检测血糖仪在新生儿科的应用及评价
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摘要
目的探讨床旁检测血糖仪在新生儿科的应用效果,从而为高危新生儿血糖筛查提供依据。方法选取2016年1月~2018年6月,住院的344例新生儿科低血糖症患儿为研究对象,对所有患儿采取床旁血糖仪检测(POCT)以及全自动生化分析仪检测,对比分析不同检测方法对应的血糖检测结果。结果床旁检测血糖仪检测的血糖水平处于可接受范围内,表明床旁检测血糖仪可用于血糖筛查;床旁血糖检测耗时以及采血量较生化分析仪器更少,数据对比差异有统计学意义(P <0.05);低血糖患儿床旁检测血糖仪检测结果低于生化分析仪器检测结果,差异无统计学意义(P> 0.05)。结论床旁检测血糖仪在新生儿科中有重要的应用价值,可用于高危新生儿血糖筛查分析和评价,便于尽早对患者实施治疗干预,具体应用中需要定期对其检测结果进行评价,从而控制保证床旁检测血糖仪检测精度。
Objective To explore the application effect of point-of-care testing blood glucose meter in department of neonatology to provide basis for blood glucose screening in high-risk newborns. Methods 344 neonates with hypoglycemia who were hospitalized in department of neonatology from January 2016 to June 2018 were selected as research objects.All neonates were tested by point-of-care testing(POCT) blood glucose meter and automatic biochemistry analyzer.The blood glucose test results corresponding to different test methods were compared and analyzed. Results The blood glucose level detected by point-of-care testing blood glucose meter was within an acceptable range,indicating that the point-ofcare testing blood glucose meter can be used for blood glucose screening.The amount of blood collected and the time taken for the point-of-care testing blood glucose meter were less than those of automatic biochemistry analyzer.Comparison of data was statistically significant(P < 0.05).The detection result of point-of-care testing blood glucose meter was than that of automatic biochemistry analyzer.The difference was not significant and had no statistical significance(P > 0.05).Conclusion The point-of-care testing blood glucose meter has import application values in department of neonatology.It can be used for analysis and evaluation of blood glucose screening in high-risk newborns,so as to facilitate the implementation of therapeutic interventions for patients as soon as possible.In specific applications,it is necessary to periodically evaluate the test results to control the detection accuracy of the point-of-care testing blood glucose meter.
Objective To explore the application effect of point-of-care testing blood glucose meter in department of neonatology to provide basis for blood glucose screening in high-risk newborns. Methods 344 neonates with hypoglycemia who were hospitalized in department of neonatology from January 2016 to June 2018 were selected as research objects.All neonates were tested by point-of-care testing(POCT) blood glucose meter and automatic biochemistry analyzer.The blood glucose test results corresponding to different test methods were compared and analyzed. Results The blood glucose level detected by point-of-care testing blood glucose meter was within an acceptable range,indicating that the point-ofcare testing blood glucose meter can be used for blood glucose screening.The amount of blood collected and the time taken for the point-of-care testing blood glucose meter were less than those of automatic biochemistry analyzer.Comparison of data was statistically significant(P < 0.05).The detection result of point-of-care testing blood glucose meter was than that of automatic biochemistry analyzer.The difference was not significant and had no statistical significance(P > 0.05).Conclusion The point-of-care testing blood glucose meter has import application values in department of neonatology.It can be used for analysis and evaluation of blood glucose screening in high-risk newborns,so as to facilitate the implementation of therapeutic interventions for patients as soon as possible.In specific applications,it is necessary to periodically evaluate the test results to control the detection accuracy of the point-of-care testing blood glucose meter.
引文
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[9]龚玲珍,梅勇.床旁检验血糖仪与生化分析仪血糖检测结果的比较分析[J].数理医药学杂志,2017,30(1):24-26.
[10]谌海兰,毕小云.即时检验床旁血糖仪与生物化学静脉血糖仪对比分析[J].生物医学工程与临床,2016(2):203-205.
[11]刘超霞.新生儿低血糖监测及早期护理干预的临床效果分析[J].母婴世界,2016(15):168-159.
[12]傅晓莹,文玉琼,张舒婷,等.我国三级甲等医院床旁血糖监测应用与管理现状调查[J].中国糖尿病杂志,2017,25(09):787-791.
[13]龚敏.院内血糖监测——血样类型与血糖仪的选择[J].中国糖尿病杂志,2015,23(7):672.
[14]张红霞,姚婷,刘玉蓉,等.新生儿100例分娩后脐动脉血气和血糖的床边检验(POCT)与护理[J].西北国防医学杂志,2015,36(3):198-199.
[2]吕丽岭,卢建军.妊娠期糖尿病母亲新生儿血糖、血清胰岛素及皮质醇水平的变化及临床意义[J].中国妇幼保健,2016,31(14):2873-2875.
[3]杨娟,包野春.临床科室POCT血糖仪与生化分析仪血糖检测的对比分析[J].中西医结合心血管病电子杂志,2017(31):45.
[4]朱根华,陆逊,张欣欣,等.POCT血糖仪与生化分析仪血糖水平检测比对方案的研究[J].国际检验医学杂志,2016,37(21):3009-3011.
[5]刘丹妍.床旁检验血糖仪与生化分析仪血糖测定结果比较[J].临床检验杂志(电子版),2018(1):36-37.
[6]王蕾,卢典,吴伟玲,等.新生儿低血糖及其治疗管理[J].临床儿科杂志,2016,34(1):55-58.
[7]卞光华.妊娠期糖尿病孕妇血糖管理与新生儿低血糖发生的关系[J].中西医结合护理(中英文),2016,2(3):62-63.
[8]周雪梅,张昌凤.妊娠期糖尿病筛查治疗对孕产妇及新生儿影响的应用研究[J].糖尿病新世界,2016,19(4):108-110.
[9]龚玲珍,梅勇.床旁检验血糖仪与生化分析仪血糖检测结果的比较分析[J].数理医药学杂志,2017,30(1):24-26.
[10]谌海兰,毕小云.即时检验床旁血糖仪与生物化学静脉血糖仪对比分析[J].生物医学工程与临床,2016(2):203-205.
[11]刘超霞.新生儿低血糖监测及早期护理干预的临床效果分析[J].母婴世界,2016(15):168-159.
[12]傅晓莹,文玉琼,张舒婷,等.我国三级甲等医院床旁血糖监测应用与管理现状调查[J].中国糖尿病杂志,2017,25(09):787-791.
[13]龚敏.院内血糖监测——血样类型与血糖仪的选择[J].中国糖尿病杂志,2015,23(7):672.
[14]张红霞,姚婷,刘玉蓉,等.新生儿100例分娩后脐动脉血气和血糖的床边检验(POCT)与护理[J].西北国防医学杂志,2015,36(3):198-199.