中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2009年
7期
754-756
,共3页
早产儿%血糖异常%高危因素%窒息
早產兒%血糖異常%高危因素%窒息
조산인%혈당이상%고위인소%질식
Premature infant%Dysglycemia%High risk factor%Asphyxia
目的 探讨早产儿血糖紊乱的高危因素及临床特点.方法 采用微量法对92例早产儿进行连续血糖监测.结果 血糖持续正常28例(30.5%),异常64例(69.5%);胎龄< 31周的早产儿(10.7%)无一例血糖持续正常;8例低体重早产儿(1 200～1 500 g)空腹血糖全部异常;高低血糖交替发生18例(19.6%);恢复正常血糖水平时间平均4.5 d,最长达45 d;重度窒息组全部异常,其中8例为高血糖,3例高血糖持续不能纠正死亡.结论 低出生体重、胎龄、1分钟Apgar 评分是早产儿发生血糖紊乱的高危因素,胎龄越小、体重越低、1分钟Apgar 评分越低血糖紊乱发生率越高.持续高血糖不能纠正往往预示病情危重预后差.
目的 探討早產兒血糖紊亂的高危因素及臨床特點.方法 採用微量法對92例早產兒進行連續血糖鑑測.結果 血糖持續正常28例(30.5%),異常64例(69.5%);胎齡< 31週的早產兒(10.7%)無一例血糖持續正常;8例低體重早產兒(1 200～1 500 g)空腹血糖全部異常;高低血糖交替髮生18例(19.6%);恢複正常血糖水平時間平均4.5 d,最長達45 d;重度窒息組全部異常,其中8例為高血糖,3例高血糖持續不能糾正死亡.結論 低齣生體重、胎齡、1分鐘Apgar 評分是早產兒髮生血糖紊亂的高危因素,胎齡越小、體重越低、1分鐘Apgar 評分越低血糖紊亂髮生率越高.持續高血糖不能糾正往往預示病情危重預後差.
목적 탐토조산인혈당문란적고위인소급림상특점.방법 채용미량법대92례조산인진행련속혈당감측.결과 혈당지속정상28례(30.5%),이상64례(69.5%);태령< 31주적조산인(10.7%)무일례혈당지속정상;8례저체중조산인(1 200～1 500 g)공복혈당전부이상;고저혈당교체발생18례(19.6%);회복정상혈당수평시간평균4.5 d,최장체45 d;중도질식조전부이상,기중8례위고혈당,3례고혈당지속불능규정사망.결론 저출생체중、태령、1분종Apgar 평분시조산인발생혈당문란적고위인소,태령월소、체중월저、1분종Apgar 평분월저혈당문란발생솔월고.지속고혈당불능규정왕왕예시병정위중예후차.
Objective To investigate the high risk factors of dysglycemia in premature infants and its Clinical Characteristics.Methods Peripheral blood glucose level was detected by micromethod in all 92 premature infants.Results In all cases, 28 cases showed normal blood glucose and 64 cases were of dysglycemia, account for 30.5% and 69.5% respectively. The premature infants with gestational age less than 31 weeks were all of dysglycemia.All eight infants with low birth weight (1 200～1 500 g) were of hyperglycemia. In all cases,there were 18 cases of hyperglycemia and hypoglycemia alternately, account for 19.6%.The average and longest treatment time of returning blood glucose to normal was 4.5days and 45 days,respectively. The level of blood glucose in all premature infants with severe asphyxia was abnormal, of which 8 cases was hyperglycemia,and 3 patients died of irreversible hyperglycemia.Conclusion Low birth weight, gestational age and 1st min Apgar score are the high risk factors of dysglycemia in premature infants, and the lower birth weight, gestational age and 1st min Apgar score, the higher the occurrence rate of dysglycemia.Irreversible hyperglycemia may imply the critical condition and poor prognosis.
