摘要
目的：探讨新生儿低血糖发生的高危因素及临床特点,为临床诊治提供依据。方法：对2007年6月2010年6月间我院966例新生儿的临床资料进行回顾性分析,根据新生儿血糖水平,分为低血糖组68例,正常血糖组898例。比较分析两组新生儿临床因素。结果：①低血糖组68例新生儿中早产儿14例（20.6%）,围生期窒息儿18例（26.5%）,足月小样儿10例（14.7%）,感染败血症8例（11.8%）,喂养困难者13例（19.1%）,母亲患有糖尿病者5例（7.4%）;正常血糖组898例新生儿中早产儿38例（4.2%）,围生期窒息儿54例（6.0%）,感染败血症13例（1.4%）,喂养困难者16例（1.8%）,两组差异具有统计学意义（P〈0.01）。②经治疗49例低血糖患儿24 h内血糖恢复正常,14例48 h内血糖恢复正常,5例经用激素治疗后2448 h恢复正常。结论：早产、围生期窒息、感染败血症、喂养困难、母亲患有糖尿病等是新生儿低血糖的高危因素,应检测此类新生儿的血糖水平,积极预防,及早诊治。
Objective： To explore the risk factors of neonatal hypoglycemia and to provide the basis for clinical diagnosis and treatment.Methods： A total of 966 newborns delivered from June 2007 to June 2010 were divided into hypoglycemia group（68 cases） and normal group（898 cases）,according to level of blood glucose.The clinical factors of two groups were compared.Results： In hypoglycemia group,there were 14 premature infants（20.6%） 18 with asphyxia during perinatal period（26.5%）,10 with full-term（14.7%）,8 with septicemia（11.8%）,13 with feeding difficulty（19.1%）,and 5 with mothers who had diabetes（7.4%）;In normal group there were 38 premature infants 38 cases（4.2%）,54 cases with asphyxia during perinatal period（6.0%）,13 cases with septicemia（1.4%）,16 with feeding difficulty（1.8%）.The difference between two groups was significant（P〈0.01）.After treatment,blood glucose of 49 hypoglycemic cases recovered within 24 h,14 cases within 48 h,and 5 cases restored by use of hormone after 24-48 h.Conclusion： Premature birth,asphyxia during perinatal period,septicemia,feeding difficulties,diabetic mother etc are risk factors of neonatal hypoglycemia.Blood glucose should be tested for early diagnosis and treatment.
出处
《海南医学院学报》
CAS
2011年第4期546-548,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020110127)~~
关键词
新生儿
低血糖
高危因素
预防
Newborn； Hypoglycemia； Risk factors； Prevention；
