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[重症监护病房患者血糖水平监测与校正的现代技术]

[MODERN TECHNOLOGIES FOR MONITORING AND CORRECTION OF BLOOD GLUCOSE LEVELS IN PATIENTS IN THE INTENSIVE CARE UNIT].

作者信息

Nikoda V V, Bondarenko A V, Lishova E A, Ragozin A K

出版信息

Anesteziol Reanimatol. 2015 Mar-Apr;60(2):62-7.

Abstract

Currently, new technologies of timely diagnosis and correction of disorders of carbohydrate metabolism are constantly introducing in intensive care units. The technologies aimed to improve the safety of the patient during intensive care. These methods include continuous monitoring (subcutaneous, intravascular) and the control of blood glucose levels, based on technologies such as enzymatic and electrochemical, fluorescence, infrared and others. Computer technologies proposed an algorithm of glycemic control with mathematical models occupy an important place. One of such algorithms is eMPC, which predicts blood glucose levels and offers physician a choice of a rate of intravenous administration of insulin and the time of further control of the glucose level. Researchers have demonstrated promising results of such technologies in patients in the ICU. Systems of continuous glucose monitoring can improve the safety of patients suffering from diabetes, as well as during intravenous insulin therapy and artifcial feeding.

摘要

目前,重症监护病房不断引入及时诊断和纠正碳水化合物代谢紊乱的新技术。这些技术旨在提高重症监护期间患者的安全性。这些方法包括基于酶法、电化学法、荧光法、红外法等技术的连续监测(皮下、血管内)和血糖水平控制。计算机技术提出的带有数学模型的血糖控制算法占据重要地位。其中一种算法是eMPC,它可预测血糖水平,并为医生提供胰岛素静脉给药速率和进一步血糖水平控制时间的选择。研究人员已在重症监护病房的患者中证明了此类技术的良好效果。连续血糖监测系统可提高糖尿病患者以及静脉胰岛素治疗和人工喂养期间患者的安全性。

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