论文部分内容阅读
目的探讨动态血糖监测系统(continuous glucose monitoring system,CGMS)在1型糖尿病(type 1 diabetes mellitus,T1DM)患儿中应用的临床意义及护理对策。方法 2008年10月—2012年2月对91例T1DM患儿进行CGMS监测,连续监测血糖3 d,观察血糖监测期间的不良反应和监测结果的完整性,同时进行相关知识教育与护理。结果患儿行CGMS监测的耐受性良好,不良反应小。护理过程中,1例探头植入失败,5例局部少量出血,2例间隔12 h未输入指尖血糖值后数据未再显示,1例出现血糖记录器报警后未做任何处置,血糖值输入时出现差错3次,高电压报警2次,外周血与CGMS不匹配报警4次,1例发生电池低电量报警。发现凌晨高血糖35例,低血糖45例95次,持续时间(61.2±41.3)min。结论CGMS在T1DM的诊疗过程中可起到指导性作用,加强护理是CGMS顺利完成的保证。
Objective To investigate the clinical significance and nursing strategies of continuous glucose monitoring system (CGMS) in type 1 diabetes mellitus (T1DM) children. Methods From October 2008 to February 2012, 91 children with T1DM were monitored by CGMS. The blood glucose was monitored continuously for 3 days. The adverse reactions and the integrity of monitoring results during the monitoring of blood glucose were observed. At the same time, relevant knowledge education and nursing were conducted. Results Good CGMS monitoring in children with good adverse reactions. In the course of nursing, one patient failed to receive the probe, 5 patients had a small amount of local bleeding, two patients did not display the data of fingertip blood glucose after 12 h interval, and one patient did not make any treatment after the alarm of blood glucose recorder, When the error occurred 3 times, high voltage alarm 2 times, peripheral blood and CGMS does not match the alarm 4 times, 1 case of low battery alarm. In the early morning, 35 cases of hyperglycemia and 45 cases of hypoglycemia were found 95 times (duration: 61.2 ± 41.3) min. Conclusions CGMS can play an instructive role in the diagnosis and treatment of T1DM. Intensifying nursing is the guarantee of successful completion of CGMS.