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新生儿持续血糖监测的安全性和准确性
Akira Ohishi1, Daizo Ueno2, Tomoka Fujita1
1Maternal-Fetal and Neonatal Care Center, Hamamatsu University School of Medicine, Hamamatsu, Japan.
概括
使用快速血糖监测 (FGM) 设备进行持续血糖监测 (CGM) 对新生儿是安全的. CGM数据显示与血糖水平的中等相关性,在出生后的几个小时内有一些差异.
科学领域:
- 新生儿护理 新生儿护理
- 医疗器械 医疗器械 医疗器械
- 内分泌学 在内分泌学.
背景情况:
- 低血糖症对新生儿构成重大风险,需要可靠和最少侵入性的监测方法.
- 持续血糖监测 (CGM) 提供了一个潜在的解决方案,用于实时评估新生儿的血糖水平.
研究的目的:
- 评估Freestyle Libre闪光血糖监测 (FGM) 设备的安全性和准确性,用于在满期新生儿中持续监测血糖.
主要方法:
- 这项研究涉及20名新生儿,在出生后不久,FGM传感器被应用到他们的大腿上.
- 在间隔 (60,120,180,360分钟) 扫描CGM值,并与脚穿刺的血糖测量进行比较.
- 传感器的磨损时间长达6小时.
主要成果:
- 在获得CGM数据点方面取得了很高的成功率 (86.7%).
- 雌性切割装置显示出良好的安全性,在很少的病例中观察到轻微的皮肤反应 (硬化,发红).
- 在CGM和血糖值之间发现了适度的相关性,在出生后早期快速血糖波动期间注意到了差异.
结论:
- 在新生儿中使用Freestyle Libre FGM设备是安全的.
- 总体而言,CGM数据与血糖水平的相关性很好,但急性产后变化可能导致这两项措施之间的暂时分离.
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