论文部分内容阅读
[目的]探讨重症病人在不同红细胞比积(HCT)范围内即时血糖检测的准确性。[方法]纳入2015年5月—2015年8月入住重症医学科的90例病人,在同一时间(间隔<3min)采集外周静脉血和指端血,测得其血糖值用统计软件SPSS 19.0进行统计分析。[结果]病人指端血糖与静脉血糖进行比较,差异有统计学意义(P<0.01);当0.30≤HCT≤0.60时,指端血糖值与静脉血糖值差异有统计学意义(P<0.01),但并不具有临床意义;当HCT<0.30时,指端血糖值与静脉血糖值差异有统计学意义(P<0.01),又具有临床意义。[结论]重症病人病情变化较快,对其进行血糖检测不应单一的看其即时检测血糖检测值,在红细胞比积过低的情况下应同时参照其静脉血糖值。
[Objective] To investigate the accuracy of real-time blood glucose detection in critically ill patients with different hematocrit (HCT). [Methods] Ninety patients admitted to the Department of Critical Care Medicine from May 2015 to August 2015 were enrolled in this study. Peripheral venous blood and finger-tip blood were collected at the same time interval (<3min). The blood glucose level was measured by statistical software SPSS 19.0 Statistical Analysis. [Results] There was a significant difference between finger blood glucose and venous blood glucose (P <0.01). When 0.30≤HCT≤0.60, there was a significant difference between finger blood glucose and venous blood glucose (P <0.01) , But not clinically significant. When HCT <0.30, there was a significant difference between finger blood glucose and venous blood glucose (P <0.01), which was of clinical significance. [Conclusion] The condition of critically ill patients changes rapidly. Therefore, the blood sugar test should not be used to detect the blood glucose test value. In the case of too low hematocrit, reference should be made to its blood glucose level.