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目的了解高危新生儿的血糖状况,以便及早发现血糖异常并及早治疗。方法对530例高危新生儿进行血糖监测和结果分析。结果 530例高危新生儿在出生后1h内检测结果显示,有66例出现低血糖,发生率为12.4%,另有4例在静脉补糖后出现高血糖情况,高血糖发生率仅为0.7%,后将葡萄糖浓度调至既定最低给药浓度5%以后其血糖均在3-5h内回复正常;结果显示,孕周越小,发生低血糖的几率越大,其不同孕周间的高危新生儿的低血糖发生率比较有统计学意义(P<0.05);低体重儿与巨大儿均能增加发生低血糖的几率,与正常出生体质量儿比较均有统计学意义(P<0.05);行剖宫产分娩新生儿有62例发生低血糖,发生率16.3%,阴道顺产新生儿有4例发生低血糖,发生率2.7%,其比较差异有统计学意义(P<0.05)。结论对高危新生儿应尽早进行血糖动态监测,以便早期发现、早期治疗,以此积极改善预后。
Objective To understand the blood glucose status of high-risk neonates in order to detect early abnormalities of blood glucose and early treatment. Methods 530 cases of high-risk neonatal blood glucose monitoring and analysis of results. Results The results of 530 high-risk neonates within one hour after birth showed that there were 66 cases of hypoglycemia, the incidence rate was 12.4%, another 4 cases of hyperglycemia after intravenous infusion of glucose, the incidence of hyperglycemia was only 0.7% , After the glucose concentration adjusted to a predetermined minimum concentration of 5% after its blood sugar within 3-5h returned to normal; results show that the smaller the gestational age, the greater the incidence of hypoglycemia, its high risk of gestational age neonates The incidence of hypoglycemia in children was statistically significant (P <0.05). The incidence of hypoglycemia in both low birth weight infants and giant infants increased significantly compared with normal birth weight (P <0.05). There were 62 cases of hypoglycemia in neonates with cesarean birth, the incidence rate was 16.3%, 4 cases of vaginal birth of neonates with hypoglycemia, the incidence rate of 2.7%, the difference was statistically significant (P <0.05). Conclusion High-risk neonatal blood glucose monitoring should be carried out as soon as possible in order to detect early treatment, in order to actively improve the prognosis.