丁伟

[摘要] 目的 探讨两种皮肤消毒方法对糖尿病患者末梢血糖监测结果的影响。方法 选取123例于2017年4月—2018年4月在该院进行血糖测定的糖尿病患者，分别利用74%的乙醇与0.75%的碘酊对患者同一只手的无名指与中指末端进行消毒后再抽取0.2 mL毛细血管血液进行血糖测定，同时抽取2 mL静脉血进行血糖测定，将其测定结果作为标准，对比两种不同消毒方法的末梢血糖监测结果。结果 相比于静脉血血糖值，乙醇组末梢血糖值与其的差值为（0.7±0.3）mmol/L，而碘酊组末梢血糖与其的差值为（1.2±0.4）mmol/L，两种消毒方法末梢血糖值与静脉血血糖值的差值差异有统计学意义（P<0.05）;患者对于两种消毒方法感觉无差异者有31例，有差异者92例。结论 74%的乙醇与0.75%的碘酊均可应用于血糖监测的皮肤消毒，但乙醇对于末梢血糖监测结果的影响较小，且多数患者认为乙醇消毒的疼痛感轻于碘酊，因此，可将75%的乙醇作为临床末梢血糖监测皮肤消毒的主要方法。

[Abstract] Objective To investigate the effects of two skin disinfection methods on the monitoring results of peripheral blood glucose in diabetic patients. Methods A total of 123 diabetic patients who underwent blood glucose measurement in our hospital from April 2017 to April 2018 were treated with 74% ethanol and 0.75% iodine， respectively， to disinfect the ring finger and middle finger end of the same hand. Blood glucose was measured by taking 0.2 mL of capillary blood， and 2 mL of venous blood was taken for blood glucose measurement. The results of the measurement were used as a standard to compare the results of peripheral blood glucose monitoring by two different disinfection methods. Results Compared with venous blood glucose， the difference between the glucose level of the ethanol group was（0.7±0.3）mmol/L， and the difference between the peripheral blood glucose of the iodine group was（1.2±0.4）mmol/L. There was a significant difference between the peripheral blood glucose level and the venous blood glucose level in the disinfection method（P<0.05）. There were 31 patients with no difference in the two disinfection methods， and 92 patients had differences. Conclusion 74% ethanol and 0.75% iodine can be used for skin disinfection of blood glucose monitoring， but ethanol has little effect on peripheral blood glucose monitoring results， and most patients think that the pain of ethanol disinfection is lighter than iodine， so 75% ethanol can be used as the primary method for monitoring skin disinfection in clinical peripheral blood glucose.

[Key words] Diabetes; Skin disinfection; Blood glucose monitoring

末梢血糖監测是一种快速测定血糖值的方法，其具快速、准确、方便等特征而广泛应用于临床。然而末梢血糖监测结果受多方面因素的影响，包括消毒剂、采血方式、温度等，其中消毒剂对监测结果的影响较大[1]。该案选取了123例于该院进行血糖测定的糖尿病患者为研究对象，分别利用74%的乙醇与0.75%的碘酊对患者同一只手的无名指与中指末端进行消毒后再抽取0.2 mL毛细血管血液进行血糖测定，同时将患者2 mL静脉血的血糖测定结果作为标准，对两种皮肤消毒方法给患者末梢血糖监测结果所带来的影响进行了分析，现将研究报道如下。

1  资料与方法

1.1  一般资料

该案选取患者123例在该院进行血糖测定的糖尿病患者，所有患者均与WHO所制定糖尿病相关诊断标准相符。排除乙醇或碘酊过敏、手指感染、皮肤疾病等患者。……