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关于手持式和便携式全血血糖仪的谨慎使用

[For the careful use of handheld and portable whole blood glucose meters].

作者信息

Sano Shunichi, Yoshitake Mai, Kishi Takahiko, Gotoh Minehiro

机构信息

Department of Clinical Examination, Medical Clinic, Aichi Medical University, Nagoya 461-0005, Japan.

出版信息

Rinsho Byori. 2011 Nov;59(11):1037-42.

Abstract

Accurate and frequent glucose measurement is an essential requirement for tight glucose control. Many varieties of handheld and portable blood glucose meters, such as self-monitoring-of-blood-glucose (SMBG) and point-of-care testing (POCT) devices, are widely used for a real-time measurement of whole blood glucose outside the laboratory unit. Obviously, SMBG device has been developed for the home-based use of diabetic patients to achieve better management. In the hospital-based setting, some of SMBG devices have been shown to be inaccurate in the glucose measurement due to a number of factors. Fetal errors were also reported. Thus, the use of SMBG device is restricted in the hospital-based settings. Compared with SMBG device, POCT device for the glucose measurement is thought to be superior in its performance. SMBG device, therefore, is now replacing with POCT one in the hospital-based settings. Although medical doctors or nurses frequently treat POCT device, it will be hoped that clinical laboratory stuffs positively support them for the quality of the equipment, the quality of the use, and the quality of the pre analytical conditions. From these viewpoints, we discussed here about the careful use of these handheld and portable whole blood glucose meters.

摘要

准确且频繁地测量血糖是严格控制血糖的一项基本要求。多种手持式和便携式血糖仪,如自我血糖监测(SMBG)和即时检验(POCT)设备,被广泛用于在实验室外实时测量全血血糖。显然,SMBG设备是为糖尿病患者居家使用以实现更好的管理而开发的。在医院环境中,由于多种因素,一些SMBG设备已被证明在血糖测量中不准确。还报告了人为误差。因此,SMBG设备在医院环境中的使用受到限制。与SMBG设备相比,用于血糖测量的POCT设备在性能上被认为更优越。因此,在医院环境中,SMBG设备现在正被POCT设备所取代。尽管医生或护士经常使用POCT设备,但希望临床实验室人员能积极支持他们,以确保设备质量、使用质量和分析前条件的质量。从这些观点出发,我们在此讨论了这些手持式和便携式全血血糖仪的谨慎使用。

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