本文選題：血糖　切入點(diǎn)：老年　出處：《廣東醫(yī)學(xué)》2017年08期

【摘要】：目的探討70歲以上正常糖耐量者的動(dòng)態(tài)血糖譜特點(diǎn)及正常參考值范圍。方法對(duì)102例70歲以上正常糖耐量者進(jìn)行動(dòng)態(tài)血糖監(jiān)測(cè),分析動(dòng)態(tài)血糖譜特點(diǎn),探討正常參考值范圍,對(duì)比日內(nèi)存在血糖≥7.8mmol/L者與全天血糖7.8 mmol/L者的臨床特征及血糖波動(dòng)特點(diǎn)。結(jié)果血糖最高峰值集中在午餐后,最低谷值集中在夜間2:00~5:00。不同性別之間、70~84歲組與≥85歲組之間動(dòng)態(tài)血糖參數(shù)的差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。動(dòng)態(tài)血糖參數(shù)的正常參考值上限為:24 h平均血糖值7.65 mmol/L,血糖水平的標(biāo)準(zhǔn)差1.61 mmol/L,最大血糖波動(dòng)幅度6.78 mmol/L,平均血糖波動(dòng)幅度4.27 mmol/L,日間血糖平均絕對(duì)差1.62 mmol/L,血糖≤3.9 mmol/L及≥7.8 mmol/L的時(shí)間百分比分別為22%和21%。與全天血糖7.8 mmol/L者比較,日內(nèi)存在血糖≥7.8 mmol/L者的血糖水平的標(biāo)準(zhǔn)差、最大血糖波動(dòng)幅度、平均血糖波動(dòng)幅度、日間血糖平均絕對(duì)差均顯著升高(P0.05)。結(jié)論 70歲以上正常糖耐量老年人群的整體血糖波動(dòng)較大,血糖較高者的血糖波動(dòng)比血糖正常者更大;該人群有獨(dú)特的動(dòng)態(tài)血糖參數(shù)的正常參考值范圍。
[Abstract]:Objective to investigate the characteristics of dynamic blood glucose profile and the range of normal reference values in patients over 70 years of age with normal glucose tolerance.Methods 102 cases of normal glucose tolerance over 70 years old were monitored by dynamic blood glucose monitoring, the characteristics of dynamic blood glucose spectrum were analyzed, and the range of normal reference value was discussed. The clinical characteristics and the fluctuation characteristics of blood glucose were compared between those who had blood sugar 鈮，

本文編號(hào)：1706892