CAJ | 학술논문

目的：探讨新生儿低血糖的高危因素及临床特点，为临床诊治及预防提供依据。方法：对收治的1254例新生儿进行血糖监测，对91例低血糖症患儿的临床资料进行回顾性分析。结果：①91例低血糖症中足月儿38例，早产儿53例，小于胎龄儿17例，窒息或宫内窘迫37例，感染26例，母患糖尿病或妊高症8例，喂养不当6例。②有症状22例（24.2%），无症状69例（75.8%），血糖越低，越容易出现临床症状。结论：对各种低血糖高危因素的新生儿均应常规监测血糖，早期诊断，及时治疗，可降低新生儿低血糖症及其脑损伤的发生。
목적：탐토신생인저혈당적고위인소급림상특점，위림상진치급예방제공의거。방법：대수치적1254례신생인진행혈당감측，대91례저혈당증환인적림상자료진행회고성분석。결과：①91례저혈당증중족월인38례，조산인53례，소우태령인17례，질식혹궁내군박37례，감염26례，모환당뇨병혹임고증8례，위양불당6례。②유증상22례（24.2%），무증상69례（75.8%），혈당월저，월용역출현림상증상。결론：대각충저혈당고위인소적신생인균응상규감측혈당，조기진단，급시치료，가강저신생인저혈당증급기뇌손상적발생。
Objective:To investigate the high risk factors of hypoglycemia of disease and its prevention.Methods:We tested the blood sugar of 1254 neonates admitted in our hospital, and we performed a retrospective analysis of clinical features of the 91 neonates suffered hypoglycemia.Results: ①Of the 91 hypoglycemic neonates,38 are full term infants and 53 are premature babies;17 are small for gestational age infants,37 are asphyxia or intrauterine distress infants,26 are infection,diabetic or pregnancy-induced hypertension morther are 8,6 are infants of feeding problems. ②22 of them are sympotematic and 69 of them are Symptomless.The lower the blood glucose,the more possibility of having symptoms.Conclusion:The blood glucose of those neonates with high risk factors of hypoglycemia should be routinely monitored,earlier diagnosis and appropriate therapy can reduce the severity of brain injury.