医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
13期
207-208
,共2页
新生儿%低血糖症%危险因素%脑损伤
新生兒%低血糖癥%危險因素%腦損傷
신생인%저혈당증%위험인소%뇌손상
Newborn%Hypoglycemia%Risk factor%Brain injury
目的探讨引起新生儿低血糖的危险因素及临床特点，为临床防治提供一定的参考依据。方法对我院住院3380例新生儿于入院时进行血糖监测。结果检出低血糖症292例，总发生率为8.64%，其中早产儿及小于胎龄儿169例(14.07%)，窒息18例(31.03%)，糖尿病母亲新生儿20例(38.46%)，感染30例(2.97%)，喂养不耐受7例(15.22%)，肺透明膜病9例(30%)，巨大儿10例(29.41%)，消化道畸形13例(16.67%)，黄疸16例(1.83%)。低血糖症的发生与胎龄有关(P=23.37,P<0.005)。低出生体重儿、巨大儿与正常出生体重儿相比，低血糖的发生率差异均非常显著(P=32.97,P<0.005；(P=27.91,P<0.005)。结论对于有早产、低出生体重、窒息、糖尿病母亲新生儿、巨大儿等低血糖高危因素的新生儿要密切监测血糖，及时发现并纠正低血糖，以最大限度的减少低血糖造成的脑损伤。
目的探討引起新生兒低血糖的危險因素及臨床特點，為臨床防治提供一定的參攷依據。方法對我院住院3380例新生兒于入院時進行血糖鑑測。結果檢齣低血糖癥292例，總髮生率為8.64%，其中早產兒及小于胎齡兒169例(14.07%)，窒息18例(31.03%)，糖尿病母親新生兒20例(38.46%)，感染30例(2.97%)，餵養不耐受7例(15.22%)，肺透明膜病9例(30%)，巨大兒10例(29.41%)，消化道畸形13例(16.67%)，黃疸16例(1.83%)。低血糖癥的髮生與胎齡有關(P=23.37,P<0.005)。低齣生體重兒、巨大兒與正常齣生體重兒相比，低血糖的髮生率差異均非常顯著(P=32.97,P<0.005；(P=27.91,P<0.005)。結論對于有早產、低齣生體重、窒息、糖尿病母親新生兒、巨大兒等低血糖高危因素的新生兒要密切鑑測血糖，及時髮現併糾正低血糖，以最大限度的減少低血糖造成的腦損傷。
목적탐토인기신생인저혈당적위험인소급림상특점，위림상방치제공일정적삼고의거。방법대아원주원3380례신생인우입원시진행혈당감측。결과검출저혈당증292례，총발생솔위8.64%，기중조산인급소우태령인169례(14.07%)，질식18례(31.03%)，당뇨병모친신생인20례(38.46%)，감염30례(2.97%)，위양불내수7례(15.22%)，폐투명막병9례(30%)，거대인10례(29.41%)，소화도기형13례(16.67%)，황달16례(1.83%)。저혈당증적발생여태령유관(P=23.37,P<0.005)。저출생체중인、거대인여정상출생체중인상비，저혈당적발생솔차이균비상현저(P=32.97,P<0.005；(P=27.91,P<0.005)。결론대우유조산、저출생체중、질식、당뇨병모친신생인、거대인등저혈당고위인소적신생인요밀절감측혈당，급시발현병규정저혈당，이최대한도적감소저혈당조성적뇌손상。
Objective To explore the risk factors and clinical features of newborns with with hypoglycemia, and to provide eviedences for clinical treatment. Methods 3380 newborns were analysed retrospectively. Results 292 newborns (8.64%) were found with hypoglycemia, including 169 preterm and small for gestational age babies (14.07%), 18 with asphyxia (31.03%), 20 infants of Dibetes Mothers(38.46%), 30 with infection(2.97%), 7 with intolerance of feeding(15.22%), 9 witht hyaline membrane disease (30%), 10 macrosomia (29.41%), 13 with abnormalities of digestive tract (16.67%), 16 with jaundice (1.83%). The incidence of hypoglycemia was associated with gestational age (χ2=23.37, <0.005),and also associated with birth weight (χ2=32.97, <0.005; (χ2=27.91, <0.005).Conclusion For the newborns with risk factors for hypoglycemia such as preterm,low birth weight,axphyxia,Dibetes mother,macrosomia, blood sugar should be monitored frequently. Early detection and prompt treatment could avoid brain injury caused by hypoglycemia maximumly.
