CN201299859Y

CN201299859Y - ICU hyperglycemia titration calculator

Info

Publication number: CN201299859Y
Application number: CNU2008201532250U
Authority: CN
Inventors: 杨中良; 刘卫东; 杨兴易
Original assignee: Individual
Current assignee: Individual
Priority date: 2008-09-18
Filing date: 2008-09-18
Publication date: 2009-09-02
Anticipated expiration: 2018-09-18

Abstract

An ICU (intensive care unit) hyperglycemia titration calculator belonging to the technical field of medical instruments comprises an insulin dose button (6), a weight button (10), a blood-glucose button (12), a fasting blood-glucose button (5), a fasting insulin button (7), an IRI (insulin resistance index) button, an IAI (insulin sensitivity index) button and an FBCI (function of insulin beta cell) button, which are arranged on the operation panel of a conventional calculator. The calculator can determine the doses of insulin per hour required for hyperglycemia titration (larger than 8.3 mmol/L) on the basis of weight and regularly obtained blood-glucose values, is used for ensuring timely, effective, steady and rapid adjustment and controlling of hyperglycemia of ICU critically ill patients, and help understand status concerning insulin resistance and sensitivity.

Description

ICU blood glucose titration computer

Technical field

This utility model relates to a kind of ICU blood glucose titration computer, belongs to technical field of medical instruments.

Background technology

At present, the concurrent stress hyperglycemia incidence rate of ICU Cavity in Critical Patients is up to more than 35%, and hyperglycemia produces serious influence to disease prognosis.Existing regulate and control method comprises premix subcutaneous injection of insulin and the subcutaneous continuous injection method of insulin pump etc., in default of quantizating index, all from low dosage, needs just can reach target blood glucose after 3-5 days, has missed the prime time of effective control stress hyperglycemia; And external insulin persistent intravenous injection method of generally recommending is consuming time more because of the operation sequence complexity, lacks operability.

Summary of the invention

Existing blood glucose regulate and control method lacks quantizating index to the technical problem that solves, the blood glucose reaching standard time is long and operation sequence is complicated, more deficiency consuming time in order to overcome, this utility model is a kind of ICU blood glucose titration computer, detect the blood glucose value of (per 1 or 2 hour) by input body weight, timing, can calculate the required per hour insulin dose of titration hyperglycemia fast, so that adding normal saline, by the Micropump intravenous injection, regularly detect blood glucose, and, help in time, control effectively, steadily, easily hyperglycemia with insulin quantification titration.

The technical scheme that its technical problem that solves this utility model adopts is: insulin dose key, body weight key, blood glucose key, fasting glucose key, fasting insulin key, IRI (insulin resistance index) key, IAI (insulin sensitivity index) key and FBCI (β cell function index) key are set on the guidance panel of a common computer.Blood glucose acquiescence unit is mmol/L, and the shift key is set can be switched between mmol/L and g/dl.

Target blood glucose (upper limit) and target blood glucose (lower limit) default value are 8.3mmol/L and 4.4mmol/L.Continue to push the target blood glucose key after 3 seconds, can raise or reduce it, each adjustable 0.1mmol/L by adjusting key.

Push the insulin dose key, on screen, show: insulin dose (U)=0.018 * body weight * (blood glucose-6.1), pressing body Multiple Bonds and blood glucose key are imported body weight (kg) and blood glucose value (mmol/L) respectively, push the enter key, promptly calculate required insulin dose (U).If push the shift key earlier, insulin dose (U)=body weight * (blood glucose-0.1) then, this moment, blood glucose unit was g/dl, and is surplus with aforementioned.Regularly detect blood glucose (per 1 or 2 hour),, promptly add in the normal saline, with Micropump at the uniform velocity intravenous injection in the corresponding time if blood glucose＞8.3mmol/L calculates the required per hour insulin dose of titration hyperglycemia by following formula.

If detecting blood glucose is hypoglycemia, promptly be lower than 4.4mmol/L, press the shift key earlier, push the insulin dose key again, can be used for calculating the dosage that replenishes glucose, show on the screen this moment: glucose (g)=0.108 * body weight * (4.4-blood glucose).

Push IRI (insulin resistance index) key, on screen, occur: IRI=FPG * F _INS/ 22.5, promptly fasting glucose (mmol/L) * fasting insulin (uU/ml)/22.5 is pushed the enter key then, promptly obtains a result.Push IAI (insulin sensitivity index) key, on screen, occur: IAI=1/ (FPG * F _INS); Push FBCI (β cell function index), occur FBCI=F on the screen _INS/ FPG pushes the enter key, promptly obtains a result.

The beneficial effects of the utility model are: the blood glucose value that detects (per 1 or 2 hour) by input body weight and timing, can calculate fast and quantize the required per hour insulin dose of titration hyperglycemia, be used to add normal saline, in the corresponding time,, help in time, control effectively, steadily, easily hyperglycemia with at the uniform velocity intravenous injection of Micropump; Also can calculate IRI (insulin resistance index), IAI (insulin sensitivity index) and FBCI (β cell function index), to understand the insulin resistant situation.

Description of drawings

Below in conjunction with drawings and Examples this utility model is further specified.

Fig. 1 is the front elevation of ICU blood glucose titration computer of the present utility model.

Fig. 2 is the back view of ICU blood glucose titration computer of the present utility model.

Fig. 3 is the side view of ICU blood glucose titration computer of the present utility model.

Among the figure 1, IRI (insulin resistance index) key, 2, IAI (insulin sensitivity index) key, 3, FBCI (β cell function index) key, 4, screen, 5, the fasting glucose key, 6, the insulin dose key, 7, the fasting insulin key, 8, sound equipment, 9, the sound key, 10, the body weight key, 11, target blood glucose (upper limit) key, 12, the blood glucose key, 13, target blood glucose (lower limit) key, 14, enter key, 15, adjusting key, 16, the operative symbol key, 17, numeral keys, 18, the ON key, 19, the AC key, 20, the delete key, 21, the shift key, 22, the OFF key, 23, battery cover, 24, the bonnet fixed screw, 25, bonnet, 26, guidance panel, 27, button.

The specific embodiment

In Fig. 1, insulin dose key (6), body weight key (10), blood glucose key (12), fasting glucose key (5), fasting insulin key (7), IRI (insulin resistance index) key (1), IAI (insulin sensitivity index) key (2) and FBCI (β cell function index) key (3) are set on the computer guidance panel.

Push insulin dose key (6), on screen, occur: insulin dose (U)=0.018 * body weight * (blood glucose-6.1).Pressing body Multiple Bonds (10) and blood glucose key (12) are imported body weight (kg) and blood glucose value (mmol/L) respectively, push enter key (14), promptly calculate required insulin dose (U).If push shift key (21) earlier, insulin dose (U)=body weight * (blood glucose-0.1) then, this moment, blood glucose unit was g/dl.Regularly detect (per 1 or 2 hour) blood glucose, calculate by following formula and quantize the required per hour insulin dose of titration hyperglycemia, promptly add in the normal saline, with Micropump intravenous injection control hyperglycemia at the uniform velocity in the corresponding time.

If detect blood glucose＜4.4mmol/L, press shift key (21) earlier, push insulin dose key (6) again and can be used for calculating the amount of replenishing glucose, show on the screen this moment: glucose (g)=0.108 * body weight * (4.4-blood glucose).

Push IRI (insulin resistance index) key (1), on screen, occur: IRI=FPG * F _INS/ 22.5, promptly fasting glucose (mmol/L) * fasting insulin (uU/ml)/22.5 is imported this binomial numerical value, pushes enter key (14) again, promptly obtains a result.Push IAI (insulin sensitivity index) key (2), on screen, occur: IAI=1/ (FPG * F _INS); Push FBCI (β cell function index) (3), occur FBCI=F on the screen _INS/ FPG after the input correlation values, pushes enter key (14), promptly obtains a result.Detect IRI, IAI and FBCI, can understand the insulin resistant situation.

Claims

1, a kind of ICU blood glucose titration computer, be made up of guidance panel and bonnet, it is characterized in that: it is that insulin resistance index key, IAI are that insulin sensitivity index key and FBCI are β cell function index key that insulin dose key, body weight key, blood glucose key, fasting glucose key, fasting insulin key, IRI are set on the guidance panel of a common computer.