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首页> 外文期刊>Journal of Thoracic Disease >Pleural fluid glucose testing using a finger stick glucometer: a novel bedside test
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Pleural fluid glucose testing using a finger stick glucometer: a novel bedside test

机译：使用手指粘性血糖仪进行胸膜葡萄糖测试：一种小说床头段测试

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Background: Pleural fluid glucose (PFG) has diagnostic and therapeutic implications for the management of pleural effusion. The literature examining point-of-care testing of PFG is limited, and no studies exist for the bedside measurement of PFG using a glucometer (B-PFG). In this study, we compared the accuracy of B-PFG measurement to standard in-lab measurement (Lab-PFG). Methods: Patients undergoing thoracentesis or thoracostomy were enrolled. PFG was measured at the bedside with a finger stick blood glucometer (ACCU-CHEK? Inform II, Roche) and in the laboratory. Two consecutive measurements were taken using the glucometer, and their mean was compared to the glucose concentration measured in the laboratory. Pearson correlation coefficient and Bland-Altman Plot analysis were used to compare the two measurements. Results: Sixty patients were included. Mean age was 64.1 years. Forty-nine patients had exudative effusions (41% malignant, 26% parapneumonic, and 33% others). There was a significant correlation between the B-PFG and the Lab-PFG (r=0.98, 95% CI of 0.97 to 0.99; P Conclusions: PFG measured at the bedside with a glucometer closely correlates with the laboratory measurement. Further studies are needed prior to incorporating this test in clinical practice.
机译：背景：胸膜流体葡萄糖（PFG）对胸腔积液的管理具有诊断和治疗意义。研究PFG的护理点测试的文献是有限的，并且使用血糖仪（B-PFG）的PFG的床头旁测量没有研究。在这项研究中，我们将B-PFG测量的准确性与标准实验室测量（Lab-PFG）进行了比较。方法：注册了胸腔饱和术或胸腔前术的患者。 PFG在床边用手指粘血血糖仪（Accu-Chek？Infly Ic，Roche）和实验室。使用血糖仪进行两次连续测量，将其平均值与实验室中测量的葡萄糖浓度进行比较。 Pearson相关系数和Bland-Altman绘图分析用于比较两项测量。结果：包括六十名患者。平均年龄为64.1岁。四十九个患者具有渗出性积液（41％恶性，26％的粉末和33％）。 B-PFG和Lab-PFG之间存在显着的相关性（R = 0.98,95％CI，0.97至0.99; P结论：在床边测量的PFG与血糖仪与实验室测量密切相关。需要进一步研究在临床实践中纳入该测试之前。

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