The Lower Pole of the Earlobe is an Alternative Site for Painless Blood Sampling in the Self-assessment of Blood Glucose Concentrations
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概要
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Objectives Measurement of blood glucose is essential for better control of diabetes mellitus. The pain associated with repeated blood sampling is a significant problem, and a less painful technique would be advantageous. This study was conducted to establish a less painful method of blood sampling for monitoring of blood glucose concentrations. Methods Fourteen healthy doctors and nurses at the age of 22 to 32 years were enrolled into this study. The earlobe was divided into 20 areas. Each area was punctured with a fine needle and the pain was assessed by the visual analog scale (VAS). Then, localized cooling or warming was applied before puncture and the pain was assessed by the VAS. Results The VAS tended to be lower toward the lower part of the earlobe. The VAS in the uppermost area was 53.1±19.1 mm and 28.9±16.8 mm in the lowest part of the earlobe. The VAS was higher in the uppermost area than in the lowest area in six of the seven volunteers (p=0.028). We did not find significant differences in the VAS and blood glucose levels between the control sampling and the warming, or cooling sampling. The localized warming shortens the time to obtain blood by 4.4 seconds (p=0.0426). Conclusion The area of the ear, but not localized cooling or warming, significantly affects the pain in sampling blood from the earlobe. Blood sampling for glucose tests are recommended to be obtained at the lower pole of the earlobe.
- 2004-09-01
著者
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Kami Masahiro
Jr東京総合病院 血液内科
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MURASHIGE Naoko
Department of Medical Oncology, National Cancer Center Hospital
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KAMI Masahiro
Department of Hematology, Toranomon Hospital
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KISHI Yukiko
Department of Hematology and Department of Nursing, Toranomon Hospital
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Murashige Naoko
亀田メディカルセンター 腎臓高血圧内科
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Murashige Naoko
Department Of Medical Oncology National Cancer Center Hospital
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Murashige Naoko
東京大学医科学研究所 探索医療ヒューマンネットワークシステム部門
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Murashige Naoko
Department Of Medical Oncology The National Cancer Center Hospital
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Matsue Kosei
Division Of Epidemiology And Prevention Aichi Cancer Center Research Institute
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Matsuo Keitaro
Division Of Epidemiology And Prevention Aichi Cancer Center Research Institute
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Matsuo Keitaro
虎の門病院(共済)
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MATSOU Keitaro
Second Department of Internal Medicine Okayama University Medical School
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Kodama Yuko
Division Of Exploratory Research Institute Of Medical Science University Of Tokyo
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Kishi Yukiko
Toranomon Hospital Tokyo Jpn
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Kishi Yukiko
Division Of Regenerative Medicine Jichi Medical School
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Yuji Koichiro
Department Of Internal Medicine Institute Of Medical Science The University Of Tokyo
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Kawakami M
Department Of Hematology Nagoya Daini Red Cross Hospital
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Kami Masahiro
Division Of Exploratory Research Institute Of Medical Science The University Of Tokyo
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Kami Masahiro
Department Of Internal Medicine Toranomon Hospital
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SHIBATA Shigeru
Department of Nephrology and Endocrinology, Faculty of Medicine, University of Tokyo
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Kodama Yuko
Division Of Exploratory Research The Institute Of Medical Science The University Of Tokyo
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Kami Masahiro
Department Of Hematology Nagoya Daini Red Cross Hospital
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Shibata Shigeru
Department Of Biochemistry Hirosaki University School Of Medicine
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Shibata Shigeru
Department Of Internal Medicine Toranomon Hospital
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Kanemaru Misaki
Department Of Respiratory Medicine Allergy And Rheumatic Diseases Osaka University Graduate School Of Medicine
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