Application of flash glucose monitoring system in blood glucose management in critically ill patients (瞬感扫描式葡萄糖监测系统在危重症患者血糖管理中的应用研究)
Objective To investigate the effect of flash glucose monitoring system (FGMS) in blood glucose management in critically ill patients. Methods A prospective randomized controlled study with 116 critically ill patients(standard deviation mean glucose levels≥1. 4 mmol/L and proportion of time in targ...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Journal of International Translational Medicine Limited
2025-05-01
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| Series: | 中西医结合护理 |
| Subjects: | |
| Online Access: | http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20250314001 |
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| Summary: | Objective To investigate the effect of flash glucose monitoring system (FGMS) in blood glucose management in critically ill patients. Methods A prospective randomized controlled study with 116 critically ill patients(standard deviation mean glucose levels≥1. 4 mmol/L and proportion of time in target range of glucose＞25. 00%) was conducted, and patients were randomly divided into the control group (n=58, receiving finger-stick blood glucose monitoring) and study group (n=58, receiving FGMS in blood glucose management ). The incidence of hypoglycemic event and time spent in blood glucose monitoring were measured and compared between two groups. Results The incidence of hypoglycemic event in the study group was lower than that in the control group (P＜0. 01). The time cost in blood glucose monitoring daily was (2. 40±0. 70)min averagely in the study group, which was lower than (17. 80±2. 51)min in the control group (P＜0. 01). Conclusion By using continuous glucose monitoring technology, the flash glucose monitoring system is effective in improving accuracy of glycemic control, reducing the risk of Iatrogenic hypoglycemia, and improving nursing efficacy and patient comfort. It can be promoted as a new standardized protocol for blood glucose management in ICU patients. (目的 探讨瞬感扫描式葡萄糖监测系统(FGMS)在危重症患者血糖管理中的应用效果。方法 采用前瞻性随机对照研究, 纳入2024年1月—2024年12月某三甲医院及其附属医院重症监护病房收治的116例血糖波动危重患者(24小时内血糖标准差≥1. 4 mmol/L且血糖水平在目标范围外时间占比＞25. 00%), 随机分为试验组(n=58, 采用FGMS监测)和对照组(n=58, 采用传统指尖血糖监测), 统计两组低血糖事件发生率和护理操作耗时。结果 试验组低血糖事件发生率较对照组降低, 差异有统计学意义(P＜0. 01); 试验组护理操作日均耗时(2. 40±0. 70)min, 低于对照组的(17. 80±2. 51)min, 差异有统计学意义(P＜0. 01)。结论 FGMS通过连续葡萄糖监测技术优化危重患者血糖波动管理, 在提升血糖控制精确性、降低医源性低血糖风险、改善护理效能及患者舒适度方面具有临床优势, 可作为ICU血糖管理的新型标准化方案推广应用。) |
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| ISSN: | 2709-1961 |