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在接受重大腹部手术的患者中,Nova StatStrip®葡萄糖计的准确性:一项观察性研究
Keisuke Omiya1,2, Yosuke Nakadate3, Hiroaki Sato4
1Department of Anesthesia, McGill University Health Centre, Royal Victoria Hospital-Glen Site, Montreal, QC, Canada. k.omiya0303@gmail.com.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|November 3, 2023
概括
诺瓦StatStrip葡萄糖计准确地测量了接受重大腹部手术的患者的血糖. 这种临床检测设备即使在高剂量胰岛素治疗中也符合准确性标准.
科学领域:
- 医疗器械 医疗器械
- 临床化学 临床化学
- 手术瘤学手术瘤学
背景情况:
- 临床检测 (POCT) 设备对于管理重症患者至关重要.
- 诺瓦StatStrip葡萄糖医院仪表系统已被批准用于重症监护中的POCT.
- 在重大腹部手术,特别是肝胆手术过程中,它的准确性仍然没有得到评估.
研究的目的:
- 在接受重大肝胆道手术的患者中评估Nova StatStrip血糖计的准确性.
- 根据已确定的准确性标准评估设备的性能,包括帕克斯错误网格和CLSI指南.
主要方法:
- 一项随机对照试验中的患者对高胰岛素血常糖症 (HNC) 的后期分析.
- 手术前收集了动脉血液样本,并在基线后的1,2,3小时收集了动脉血液样本.
- 使用Nova StatStrip和GEM Premier 5000分析仪测量葡萄糖水平.
主要成果:
- 使用帕克斯错误网格 (ISO15197:2013) 和CLSI POCT12-A3标准来评估准确性.
- 所有135个分析的样本 (包括HNC组的70个) 都在帕克斯错误网格上的可接受区域内.
- 在所有测量时间点上,Nova StatStrip满足了CLSI POCT12-A3准确性标准.
结论:
- 诺瓦StatStrip血糖计在接受重大腹部上部手术的患者中表现出高精度.
- 设备的准确性保持不管在外科手术期间高剂量胰岛素的管理.
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