CAJ | 학술논문

目的探讨糖代谢紊乱在危重新生儿的临床意义及其与预后的关系.方法采用过氧化物酶法对178例住院危重新生儿进行入院后72 h内全血血糖监测,观察血糖值与患儿的病情严重程度与病死率的关系.结果 178例危重新生儿发生血糖紊乱102例(57%),且血糖值的过高或过低均与患儿的病死率呈正相关关系,差异有显著性(P<0.01).结论危重新生儿血糖值的波动情况与疾病危重程度呈正相关,对危重新生儿进行常规血糖监测,有利于病情观察及预后的判断.
목적 탐토당대사문란재위중신생인적림상의의급기여예후적관계.방법 채용과양화물매법대178례주원위중신생인진행입원후72 h내전혈혈당감측,관찰혈당치여환인적병정엄중정도여병사솔적관계.결과 178례위중신생인발생혈당문란102례(57%),차혈당치적과고혹과저균여환인적병사솔정정상관관계,차이유현저성(P<0.01).결론 위중신생인혈당치적파동정황여질병위중정도정정상관,대위중신생인진행상규혈당감측,유리우병정관찰급예후적판단.
Objective To determine the relationship between the blood glucose (GLU) levels and neonates who diagosed as severe disease and to confirm the value of its clinic application. Methods We stadiedr 102 patients and 76 control subjects. GLU were detected in 72 hours, and compared to the controls'GLU levels. Observe the relationship between the blood glucose levels and mortality rates. Results Blood GLU levels were significantly different in patients than that in controls (P<0.05). Patients' mortality rates manifested the positive association with the fluctuation of GLU levels in the neonates of severe disease, and the difference was obvious (P<0.01). Conclusion GLU levels measured in the neonatals of severe disease is helpful to diagncse and estimation prognosis, we conclude that GLU must be measured in neonates.