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新生儿病房床边血糖监测系统的评估

Evaluation of the bedside glucose monitoring system in neonatal units.

作者信息

Kiattimongkol Wichulada, Watanachai Aruchalean, Suprasongsin Chittiwat

机构信息

Pediatric Unit, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima 30000, Thailand.

出版信息

J Med Assoc Thai. 2003 Sep;86(9):883-8.

Abstract

OBJECTIVE

To evaluate the performance of a commercial reader compared with a laboratory method in neonates with a variety of diseases and conditions.

PATIENTS AND METHOD

A total of 175 patients were included in the present study. Venous whole blood samples were analyzed with a commercial reader by trained nurse. Through the same sampling site, specimens were collected, spun and plasma were sent to the laboratory for measurement of plasma glucose.

RESULTS

The regression analysis between the results of a commercial reader and laboratory glucose were significantly correlated (r = 0.97; p < 0.001) with the result as follows: A commercial reader = Laboratory glucose - 0.17 (n = 175). A positive slope of 0.04 was found between hematocrit and difference between a commercial reader and laboratory plasma glucose. However, this correlation was of little clinical significance.

CONCLUSIONS

A commercial reader showed a good correlation with the standard laboratory method for the measurement of plasma glucose in neonates with a variety of diseases and conditions.

摘要

目的

评估在患有多种疾病和病症的新生儿中,一种商用血糖仪与实验室检测方法相比的性能。

患者与方法

本研究共纳入175例患者。由经过培训的护士使用商用血糖仪对静脉全血样本进行分析。通过相同的采样部位采集标本,离心后将血浆送至实验室测量血浆葡萄糖。

结果

商用血糖仪结果与实验室葡萄糖检测结果之间的回归分析具有显著相关性(r = 0.97;p < 0.001),结果如下:商用血糖仪结果 = 实验室葡萄糖结果 - 0.17(n = 175)。在血细胞比容与商用血糖仪和实验室血浆葡萄糖差值之间发现正斜率为0.04。然而,这种相关性临床意义不大。

结论

对于患有多种疾病和病症的新生儿,商用血糖仪在测量血浆葡萄糖方面与标准实验室方法具有良好的相关性。

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