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无创血糖监测

Noninvasive blood glucose monitoring.

作者信息

Klonoff D C

机构信息

Department of Medicine, University of California at San Francisco 94143-0540, USA.

出版信息

Diabetes Care. 1997 Mar;20(3):433-7. doi: 10.2337/diacare.20.3.433.

Abstract

The concentration of glucose in the blood may soon be measured noninvasively, without puncturing the finger to obtain a drop of blood. Current prototype devices for this purpose require greater accuracy and miniaturization to be commercially viable. No such device has been approved for marketing by the U.S. Food and Drug Administration. The technology used for noninvasive blood glucose monitoring involves either radiation or fluid extraction. With radiation technology, an energy beam is 1) applied to the body, 2) modified proportionate to the concentration of glucose in the blood, and 3) measured. The blood glucose concentration is then calculated. With fluid extraction technology, a body fluid containing glucose in a concentration proportionate to the blood glucose concentration is extracted and measured. The blood glucose concentration is then calculated. The most promising technologies are 1) near-infrared light spectroscopy, 2) far-infrared radiation spectroscopy, 3) radio wave impedance, 4) optical rotation of polarized light, 5) fluid extraction from skin, and 6) interstitial fluid harvesting. Each method has features predictive of commercial viability, as well as technical problems to overcome.

摘要

血液中的葡萄糖浓度或许很快就能通过非侵入性方式进行测量,无需刺破手指获取血滴。目前用于此目的的原型设备要想在商业上可行,还需要更高的准确性和更小的尺寸。美国食品药品监督管理局尚未批准任何此类设备上市。用于非侵入性血糖监测的技术包括辐射或液体提取。对于辐射技术,能量束先是施加于身体,然后根据血液中葡萄糖浓度按比例进行改变,最后进行测量。接着计算出血糖浓度。对于液体提取技术,会提取出一种葡萄糖浓度与血糖浓度成比例的体液并进行测量。然后计算出血糖浓度。最有前景的技术有:1)近红外光光谱法,2)远红外辐射光谱法,3)无线电波阻抗法,4)偏振光的旋光法,5)从皮肤提取液体,6)采集组织间液。每种方法都有预示其商业可行性以及有待克服的技术问题的特征。

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