Martin S, Jensen R, Daly L, Jergenson C, Johnson M B, Buell T
Sioux Valley Hospital, Sioux Falls, SD 57117-5039, USA.
Neonatal Netw. 1997 Mar;16(2):39-43.
Bedside whole blood glucose screening in the NICU has been an accepted method of care for several years. Meters or visually read reagent strips are used in bedside screening, but the reliability and accuracy of these methods are not always established before they are implemented as routine practice in the NICU. A study was conducted to determine which method of bedside whole blood glucose screening was the more accurate: visually read Chemstrip bG reagent strips or the One Touch II meter method. The values obtained were compared with lab analysis of serum glucose, and a correlation study was performed to compare the accuracy and reliability of the values produced by the two methods. One hundred samples were obtained from 38 NICU infants; 63 percent of the 100 samples were compared with lab values. Results revealed that the One Touch II method was more reliable (r = .92) than the Chemstrip bG method (r = .87). Furthermore, the One Touch II results correlated better with lab values when the meter was not operated in the neonatal mode. This study revealed that the One Touch II method appears to provide safe and accurate screening of bedside blood glucose in a high-risk neonatal population.
在新生儿重症监护病房（NICU）进行床边全血葡萄糖筛查多年来一直是一种被认可的护理方法。床边筛查使用血糖仪或目视读取的试剂条，但这些方法的可靠性和准确性在作为NICU常规做法实施之前并不总是得到确定。开展了一项研究以确定哪种床边全血葡萄糖筛查方法更准确：目视读取的Chemstrip bG试剂条法还是One Touch II血糖仪法。将获得的值与血清葡萄糖的实验室分析结果进行比较，并进行相关性研究以比较两种方法产生的值的准确性和可靠性。从38名NICU婴儿中获取了100个样本；100个样本中的63%与实验室值进行了比较。结果显示，One Touch II方法（r = 0.92）比Chemstrip bG方法（r = 0.87）更可靠。此外，当血糖仪不以新生儿模式操作时，One Touch II的结果与实验室值的相关性更好。这项研究表明，One Touch II方法似乎能为高危新生儿群体提供安全、准确的床边血糖筛查。
