毛 倩,吴晶晶,刘长菊,闵 霞

目的：探讨瞬感动态血糖监测系统（CGMS）在急性胰腺炎（AP）患者血糖管理中的临床价值。方法：本研究为回顾性队列研究。采用随机数字表法将2023年3月至2024年3月在南京医科大学附属江宁医院收治的70例急性胰腺炎患者随机分为实验组和观察组，每组35例。对照组采用指尖血糖监测方式（POCT），观察组采用瞬感动态血糖监测系统（CGMS）进行血糖管理。主要观察指标包括：平均血糖（MBG）、血糖变异系数（CV）、血糖达标时间（Time in Range,TIR）、低血糖次数、胰岛素使用量、感染发生率、住院时间、肠功能恢复时间等。所有数据通过Shapiro-Wilk正态性检验，正态分布数据采用独立样本t检验，非正态分布数据使用Mann-Whitney U检验，分类变量采用X2检验（当理论频数<5时使用Fisher精确检验）。结果：与对照组相比，观察组患者的MBG显著降低（7.9±1.3 vs.9.1±1.4 mmol/L，P<0.01），CV值明显下降（21.4%vs.28.7%，P<0.05），TIR显著提高（74.2%vs.61.3%，P<0.01），低血糖事件次数更少（0.26 vs.1.12次/人，P<0.01）。此外，观察组住院时间、肠功能恢复时间、感染发生率及胰岛素使用总量均较对照组更低，差异具有统计学意义（P<0.05）。结论：瞬感动态血糖监测系统在AP患者血糖管理中具有更高的敏感性与安全性，能更精准地识别高/低血糖波动，降低并发症发生率，缩短住院时间，值得临床推广。

急性胰腺炎；动态血糖监测；CGMS；血糖变异性；感染率

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