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用于疼痛感知和血糖监测的毛细血管血量的采血针评估。

Evaluation of lancets for pain perception and capillary blood volume for glucose monitoring.

作者信息

Warunek David, Stankovic Ana K

机构信息

BD Diagnostics-Preanalytical Systems, 1 Becton Drive, Franklin Lakes, NJ 07417, USA.

出版信息

Clin Lab Sci. 2008 Fall;21(4):215-8.

Abstract

OBJECTIVE

The purpose of this study was to assess patient pain perception and capillary blood volume of four currently marketed lancets [BD Microtainer Contact-Activated Lancet, Low Flow (Contact-Activated Lancet); LifeScan OneTouch SureSoft Gentle (OneTouch SureSoft Gentle); BD Genie Blue; SurgiLance Safety] in a diabetic population following routine finger-puncture procedures and glucose monitoring.

METHODS

Data were collected from adult subjects diagnosed with type I or type II diabetes mellitus at a 300-bed US hospital following finger-puncture procedures for glucose monitoring. Based on quantitative and qualitative measurements, each blood collection device was evaluated for pain perception and calculated total capillary blood volume.

RESULTS

A total of 80 subjects received four skin punctures in an alternating finger and hand sequence using each lancet. The ten clinicians (nurses and phlebotomists) conducted the study, collected and then calculated total capillary blood volume. It was determined that the Contact-Activated Lancet produced less perceived pain and bleeding, while obtaining an adequate capillary blood volume for glucose monitoring.

CONCLUSION

This study demonstrated that the Contact-Activated Lancet provided an adequate sample volume required for blood glucose monitoring. In addition, less perceived pain was elicited with this lancet when compared with the other lancets evaluated in the study.

摘要

目的

本研究旨在评估四种目前市售采血针[BD微量采血管接触激活式采血针,低流量(接触激活式采血针);LifeScan OneTouch SureSoft Gentle(OneTouch SureSoft Gentle);BD Genie Blue;SurgiLance Safety]在糖尿病患者群体中进行常规手指穿刺采血程序和血糖监测后的患者疼痛感知及毛细血管血容量情况。

方法

在美国一家拥有300张床位的医院,从被诊断为I型或II型糖尿病的成年受试者中收集数据,这些受试者在进行手指穿刺采血以监测血糖后参与研究。基于定量和定性测量,对每种采血装置的疼痛感知及计算得出的总毛细血管血容量进行评估。

结果

共有80名受试者使用每种采血针,按照交替的手指和手部顺序接受了四次皮肤穿刺。十名临床医生(护士和采血技师)开展了该研究,收集并计算了总毛细血管血容量。结果表明,接触激活式采血针产生的疼痛和出血感觉较轻,同时能获取足够用于血糖监测的毛细血管血容量。

结论

本研究表明,接触激活式采血针能提供血糖监测所需的足够样本量。此外,与本研究中评估的其他采血针相比,使用这种采血针引起的疼痛感觉较轻。

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