动态血糖监测系统对无症状性低血糖的监测.docVIP

精品论文 参考文献 动态血糖监测系统对无症状性低血糖的监测 王朝霞1 刘彩凤2 王秀珠2 魏枫3（通讯作者） (1包头医学院2009级研究生lt;内蒙古包头市第四医院内分泌科gt; 014000) (2内蒙古包头市第四医院内分泌科 014030; 3内蒙古包头医学院第一附属医院内分泌科 014000) 【中图分类号】R587.1【文献标识码】A【文章编号】1672-5085（2012）19-0131-02 【摘要】目的 动态血糖监测系统 （CGMS） 对无症状性低血糖的监测。方法 对确诊的33例注射胰岛素的糖尿病患者，同时接受动态血糖监测及指血快速血糖检查， 对比分析两种方法对无症状低血糖的检出率。结果 动态血糖监测系统较指血快速血糖对低血糖的检出率分别是78.5％和10.2％,二者之间差异具有显著性（Plt;0.05）。结论 动态血糖监测系统能检测无症状低血糖，更好的发现低血糖，避免低血糖带来的不良后果。 【关键词】动态血糖监??系统（CGMS） 无症状性低血糖 糖尿病 The monitor of continuous glucose monitoring system in detecting senile silent hypoglycemia WANG Zhao-xia1, LIU Cai-feng2，WANG Xiu-zhu2 （1.2009-class graduate of Baotou Medical College, Department of Endocrinology, No. 4 Hospital of Baotou；2. Department of Endocrinology, No. 4 Hospital of Baotou，Baotou, Inner Mongolia, 014030） 【Abstract】Objective Discusses the small-opening cholecystectomy through surgery method and clinical curative effect.Methods 160 cases of patients with gallbladder disease selective implementation small-opening cholecystectomy through after treatment were analyzed retrospectively.Results All of the patients were smooth operation.Average operation time 55 min,2 cases of gallbladder trigonometry frozen samples adhesion,abdominal obesity surgery was finished extended factors incision.No bile duct damage,and other complications.All patients recovered from the hospital.Conclusion Small-opening cholecystectomy through both small incision and beautiful,postoperative recover faster,less complications of advantage,and reduce the medical treatment cost of patients,particularly to do not have in basic-level hospitals of laparoscopic cholecystectomy is a more practical gallbladder surgical resection. 【Key words】Continuous Glucose Monitoring System (CGMS) silent hypoglycemia diabetes 现代血糖控制的目标是降低高血糖,防止低血糖,减小血糖波动;糖尿病治疗的平衡之道是有效和安全[1]。近年来胰岛素强化治疗已逐渐成为控制血糖良好的重要手段,同时血糖的监测在糖尿病的防治中也十分重要。动态血糖监测系统为胰岛素强化治疗提供了更加全面的血糖信息。严格的控制血糖可以降低糖尿病长期慢性并发症，但会增加低血糖的发生率，低血糖成为血糖控制达标的重要障碍[2]。及时发现低血糖,避免严重低血糖事件的发生,延缓糖尿病慢性并发症的发生、通过24小