Ferraz Dênis P, Maia Frederico F R, Araújo Levimar R
Clínica de Endocrinologia e Metabologia, Faculdade de Ciências Médicas de Minas Gerais, Hospital Universitário São José, Belo Horizonte, MG.
Arq Bras Endocrinol Metabol. 2004 Jun;48(3):389-93. doi: 10.1590/s0004-27302004000300010. Epub 2004 Aug 26.
To evaluate the efficacy and patient preferences of ear lobe capillary glycemia (GC) against conventional fingerstick GC, we studied 40 patients (13M/27F; 41.6 +/- 13.5 years) with type 2 diabetes mellitus (DM2). Glucose monitoring was accomplished using a digital glucometer and Accu-Chek Softclix Pro lancetator. Tests were carried out during 27 days with grade 2 of penetration (median) on the distal phalange of the right hand's third finger and on the inferior part of the right ear lobe, at the same time and fasting. The comparative analyzes of fingerstick and ear lobe GC did not show statistical significance (p = 0.008). 72.5% of patients reported no pain during the ear lobe test against 15% in fingerstick GC. There was a significant correlation between ear lobe test and low level of pain (p< 0.001). 82.5% of patients preferred the ear lobe test for monitoring. The ear lobe GC was as efficient as traditional fingerstick test. This new method was associated with low level of pain, safety, comfort, and good acceptance for most patients.
为评估耳垂毛细血管血糖（GC）相对于传统指尖血糖检测的疗效及患者偏好，我们对40例2型糖尿病（DM2）患者（13例男性/27例女性；41.6±13.5岁）进行了研究。使用数字血糖仪和罗氏卓越纤巧型采血笔进行血糖监测。在27天内，于右手无名指远端指骨及右耳垂下部，同时进行空腹检测，穿刺等级为2级（中位数）。指尖血糖和耳垂血糖的对比分析未显示出统计学意义（p = 0.008）。72.5%的患者在耳垂检测时表示无痛，而指尖血糖检测时这一比例为15%。耳垂检测与低疼痛水平之间存在显著相关性（p < 0.001）。82.5%的患者更倾向于采用耳垂检测进行监测。耳垂血糖检测与传统指尖检测同样有效。这种新方法疼痛程度低、安全、舒适，且大多数患者接受度良好。
