动态血糖监测系统中技术难点的相关探讨

      Technical Difficulties in the Implementation of the Continuous Glucose Monitoring System

      • 摘要: 动态血糖监测系统(CGMS)是一种通过葡萄糖生物传感器对皮下组织间液中葡萄糖浓度进行动态监测,从而间接反映血糖变化趋势的监测技术。CGMS可以持续监测用户全天的血糖信息,有助于用户了解自身血糖的波动趋势,以及监测到传统方法难以发现的隐匿性高血糖和低血糖。由于CGMS需要植入皮下并长期工作,必须考虑一系列因素,如生物兼容性、酶失活、氧缺乏、异物反应、植入尺寸、电极柔韧性、误差校正、佩戴舒适度、器件毒性、电气安全性等问题。该研究通过对动态血糖监测系统的关键技术进行列举和阐述,重点分析了技术中出现的难点,并对雅培、美敦力、德康公司产品进行对比,归纳其前沿性,以期对国内CGMS研发提供一定的参考。

         

        Abstract: The continuous glucose monitoring system (CGMS) has been clinically applied to monitor the dynamic change of the subcutaneous interstitial glucose concentration which is a function of the blood glucose level by glucose sensors. It can track blood glucose levels all day along, and thus provide comprehensive and reliable information about blood glucose dynamics. The clinical application of CGMS enables monitoring of blood glucose fluctuations and the discovery of hidden hyperglycemia and hypoglycemia that are difficult to be detected by traditional methods. As a CGMS needs to work subcutaneously for a long time, a series of factors such as biocompatibility, enzyme inactivation, oxygen deficiency, foreign body reaction, implant size, electrode flexibility, error correction, comfort, device toxicity, electrical safety, et al. should be considered beforehand. The study focused on the difficulties in the technology, and compared the products of Abbott, Medtronic and DexCom, then summarized their cutting-edge. Finally, this study expounded some key technologies in dynamic blood glucose monitoring and therefore can be utilized as a reference for the development of CGMS.

         

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