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静脉胰岛素泵联合持续血糖监测系统对肝移植术后患者血糖控制的有效性及安全性:附1例报道 被引量:3

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摘要 目的总结1例肝移植患者术后使用胰岛素泵联合持续血糖监测系统(CGMS)进行血糖控制的有效性及安全性。方法回顾性分析笔者所在医院科室于2015年11月收治的1例肝移植患者的临床资料,该患者术后使用胰岛素泵联合CGMS进行血糖控制。结果本例患者的血糖控制时间为4 127 min。血糖控制参数:最大值9.8 mmol/L,最小值4.7 mmol/L(自觉无头晕、乏力等低血糖症状),平均6.9 mmol/L,目标血糖达标时间为4 030 min,占98%。血糖变异参数:标准差(SD)为1.1 mmol/L,血糖不稳定指数为7.32(mmol/L)~2/(h·d),平均血糖波动幅度为0,平均日内血糖改变为3.4 mmol/L。控制期间营养情况:肠内营养的碳水化合物用量为115 g,全胃肠外营养的碳水化合物用量为516 g,胰岛素用量为139 U(用量均值为2 U/h),平均采样时间为109 min。肝移植术后3周患者痊愈出院,术后1个月随访无不适,复查糖化血红蛋白为4.9%。结论胰岛素泵联合CGMS的血糖控制效果较好,但该结论仍需要大样本、多中心及前瞻性的随机对照试验给予证实。
出处 《中国普外基础与临床杂志》 CAS 2017年第10期1254-1257,共4页 Chinese Journal of Bases and Clinics In General Surgery
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