毛细血管葡萄糖的相关性

S. Fitria, R. Yaswir, Efrida Efrida
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引用次数: 0

摘要

需要使用即时检测(POCT)快速准确地测量毛细血管血糖水平,以维持患者的正常血糖状态,从而获得适当的管理。葡萄糖POCT方法应与己糖激酶法作为参考方法进行比较,评价其分析性能,以提供准确可靠的结果。目的:用葡萄糖脱氢酶-烟酰胺腺嘌呤二核苷酸(GDH-NAD)法测定毛细管血糖与血清葡萄糖己糖激酶的相关性。方法:本研究分析了42例在巴东总医院接受空腹血糖检查的门诊患者。该研究于2020年2月至9月进行。用葡萄糖POCT - GDH-NAD法测定毛细管空腹血糖,用己糖激酶法测定血清血糖。采用Spearman相关检验对数据进行分析,p<0.05为显著性。结果:男性28例(66.7%),女性14例(33.3%),平均年龄56.12±12.97岁,平均红细胞压积40.90±2.42%。毛细管葡萄糖GDH-NAD法和血清葡萄糖己糖激酶法的中位数均为100.00 mg/dL,差异中位数为3.00 mg/dL。Spearman相关检验显示极强正相关且有统计学意义(r= 0.961;p=< 0.001)。结论:毛细管葡萄糖GDH-NAD法与血清葡萄糖己糖激酶法具有很强的正相关。关键词:己糖激酶,空腹血糖水平,GDH-NAD,葡萄糖POCT
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Korelasi Glukosa Kapiler Metode Glucose Dehidrogenase-Nicotinamide Adenine Dinucleotide Dengan Glukosa Serum Metode Heksokinase
Rapid and accurate measurement of capillary glucose level using point-of-care testing (POCT) is needed to maintain the patient’s normoglycemic status in obtaining adequate management. The glucose POCT method should be evaluated to determine analytical performance by comparing with the hexokinase method as a reference method to provide accurate and reliable results. Objectives: To determined the correlation between capillary glucose using glucose dehydrogenase-nicotinamide adenine dinucleotide (GDH-NAD)  and serum glucose hexokinase methods. Methods:  This analytic cross-sectional study on 42 outpatients who underwent fasting blood glucose examination at Dr. M Djamil Padang General Hospital. This study was conducted from February until September 2020. Capillary fasting blood glucose was measured using glucose POCT GDH-NAD method and serum glucose with hexokinase method. The Spearman correlation test was used to analyze data, significant if p<0.05. Results: The subjects were 28 male (66.7%),14 female (33.3%) with mean age and hematocrit level was 56.12±12.97 years and 40.90±2.42%, respectively. The median capillary glucose GDH-NAD method and serum glucose hexokinase method were 100.00 mg/dL each, with a median difference was 3.00 mg/dL. Spearman correlation test showed very strong positive correlation and statistically significant (r=0,961;p=<0,001). Conclusion: Capillary glucose GDH-NAD method had a very strong positive correlation with serum glucose hexokinase method.Keywords:  hexokinase, fasting glucose level, GDH-NAD, glucose POCT
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