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两款市售胰岛素泵贴片的脉搏准确性比较研究。

A Comparative Pulse Accuracy Study of Two Commercially Available Patch Insulin Infusion Pumps.

作者信息

Bowen Jenna L, Allender Chris J

机构信息

School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK.

出版信息

Eur Endocrinol. 2016 Aug;12(2):79-84. doi: 10.17925/EE.2016.12.02.79. Epub 2016 Aug 28.

DOI:10.17925/EE.2016.12.02.79
PMID:29632592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5813446/
Abstract

Patch pumps are a relatively new method of Insulin delivery. This study explores the accuracy of patch-pumps by reporting on comparative pulse-accuracy study of two patch pumps. The accuracy of two patch pumps (Cellnovo, [Cellnovo Ltd., Swansea, UK] and OmniPod [Ypsomed Ltd, Escrick, UK]) was evaluated micro-gravimetrically. Pulse accuracy was analysed by comparing single and time-averaged pulses for each device. Single-pulses outside accuracy thresholds ±5%, ±10%, ±15%, ±20%, ±25% and ±30% were: Cellnovo; 79.6%, 55.6%, 35.0%, 19.9%, 9.7% and 4.3%; OmniPod; 86.2%, 71.6%, 57.4%, 45.5%, 35.2% and 25.4%. For 10, 20 and 40 pulse-windows mean values outside ±15% accuracy level were: Cellnovo; 7.3%, 1.5% and 0.4%, OmniPod; 37.6%, 31.8% and 25.9. This study showed that not all patch pumps are the same. The pumping mechanisms employed in these pumps play a significant role in the accuracy and precision of such devices.

摘要

贴片式胰岛素泵是一种相对较新的胰岛素给药方式。本研究通过报告两种贴片式胰岛素泵的脉冲准确性对比研究,来探究贴片式胰岛素泵的准确性。采用微量重力分析法评估了两种贴片式胰岛素泵(Cellnovo,[英国斯旺西的Cellnovo有限公司]和OmniPod[英国埃斯克里克的Ypsomed有限公司])的准确性。通过比较每个设备的单次脉冲和时间平均脉冲来分析脉冲准确性。超出±5%、±10%、±15%、±20%、±25%和±30%准确性阈值的单次脉冲比例分别为:Cellnovo胰岛素泵,79.6%、55.6%、35.0%、19.9%、9.7%和4.3%;OmniPod胰岛素泵,86.2%、71.6%、57.4%、45.5%、35.2%和25.4%。在10次、20次和40次脉冲窗口中,超出±15%准确性水平的平均值分别为:Cellnovo胰岛素泵,7.3%、1.5%和0.4%;OmniPod胰岛素泵,37.6%、31.8%和25.9%。本研究表明,并非所有贴片式胰岛素泵都是一样的。这些胰岛素泵所采用的泵送机制在这类设备的准确性和精度方面起着重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/de1cc10c163a/euendo-12-79-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/267bbb65b7e0/euendo-12-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/b467b0e63a94/euendo-12-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/eda239529609/euendo-12-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/0e229a4ac2cf/euendo-12-79-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/ed07ac3abe49/euendo-12-79-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/de1cc10c163a/euendo-12-79-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/267bbb65b7e0/euendo-12-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/b467b0e63a94/euendo-12-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/eda239529609/euendo-12-79-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/0e229a4ac2cf/euendo-12-79-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/ed07ac3abe49/euendo-12-79-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a4e/5813446/de1cc10c163a/euendo-12-79-g006.jpg

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本文引用的文献

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J Diabetes Sci Technol. 2014 Nov;8(6):1142-4. doi: 10.1177/1932296814548216. Epub 2014 Aug 26.
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Accuracy of a new patch pump based on a microelectromechanical system (MEMS) compared to other commercially available insulin pumps: results of the first in vitro and in vivo studies.一种基于微机电系统(MEMS)的新型贴片泵与其他市售胰岛素泵相比的准确性:首次体外和体内研究结果。
J Diabetes Sci Technol. 2014 Nov;8(6):1133-41. doi: 10.1177/1932296814543946. Epub 2014 Jul 30.
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Comparative dose accuracy of durable and patch insulin infusion pumps.
J Diabetes Sci Technol. 2019 Jan;13(1):34-40. doi: 10.1177/1932296818795150. Epub 2018 Aug 22.
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J Diabetes Sci Technol. 2019 Jan;13(1):60-67. doi: 10.1177/1932296818788349. Epub 2018 Jul 13.
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A Retrospective Review of the Clinical Characteristics and Blood Glucose Data from Cellnovo System Users using Data Collected from the Cellnovo Online Platform.利用从Cellnovo在线平台收集的数据对Cellnovo系统用户的临床特征和血糖数据进行回顾性分析。
Eur Endocrinol. 2018 Apr;14(1):30-34. doi: 10.17925/EE.2018.14.1.30. Epub 2018 Apr 18.
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The Cellnovo Insulin Delivery System.赛诺沃胰岛素输注系统。
Eur Endocrinol. 2017 Apr;13(1):13-16. doi: 10.17925/EE.2017.13.01.13. Epub 2017 Apr 3.
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10th Annual Symposium on Self-Monitoring of Blood Glucose, April 27-29, 2017, Warsaw, Poland.第十届自我血糖监测学术研讨会,2017 年 4 月 27 日-29 日,波兰华沙。
Diabetes Technol Ther. 2018 Jan;20(1):68-89. doi: 10.1089/dia.2017.0356. Epub 2017 Nov 14.
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