上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2014年
19期
43-45
,共3页
血乳酸%血糖%监测%新生儿窒息%诊断
血乳痠%血糖%鑑測%新生兒窒息%診斷
혈유산%혈당%감측%신생인질식%진단
blood lactic acid%blood sugar%monitoring%postpartum neonatal asphyxia%diagnosis
目的：探讨血乳酸联合血糖监测在产后新生儿窒息诊断中的应用价值。方法：选取2013年2月-2014年3月在我院出生的80例发生窒息的新生儿为观察组，并选取同期健康新生儿30例作为对照组。统计分析两组血乳酸和血糖水平与新生儿窒息的关系并进行产后新生儿窒息发生的危险因素的多因素分析。结果：观察组血乳酸和血糖水平分别为（5.86±2.18）mmol/L和（5.15±2.26）mmol/L，显著高于对照组的（2.81±0.49）mmol/L和（2.74±0.62）mmol/L，差异有统计学意义（P<0.05）。Pearson相关性分析结果显示，血乳酸和血糖水平均与新生儿窒息呈负相关（P<0.05）。logistic多元回归分析结果显示产后新生儿窒息发生的危险因素有高血乳酸、血糖、间接胆红素和血压等。结论：血乳酸联合血糖监测可能成为产后新生儿窒息的重要预测指标，可用于产后新生儿窒息的辅助诊断。
目的：探討血乳痠聯閤血糖鑑測在產後新生兒窒息診斷中的應用價值。方法：選取2013年2月-2014年3月在我院齣生的80例髮生窒息的新生兒為觀察組，併選取同期健康新生兒30例作為對照組。統計分析兩組血乳痠和血糖水平與新生兒窒息的關繫併進行產後新生兒窒息髮生的危險因素的多因素分析。結果：觀察組血乳痠和血糖水平分彆為（5.86±2.18）mmol/L和（5.15±2.26）mmol/L，顯著高于對照組的（2.81±0.49）mmol/L和（2.74±0.62）mmol/L，差異有統計學意義（P<0.05）。Pearson相關性分析結果顯示，血乳痠和血糖水平均與新生兒窒息呈負相關（P<0.05）。logistic多元迴歸分析結果顯示產後新生兒窒息髮生的危險因素有高血乳痠、血糖、間接膽紅素和血壓等。結論：血乳痠聯閤血糖鑑測可能成為產後新生兒窒息的重要預測指標，可用于產後新生兒窒息的輔助診斷。
목적：탐토혈유산연합혈당감측재산후신생인질식진단중적응용개치。방법：선취2013년2월-2014년3월재아원출생적80례발생질식적신생인위관찰조，병선취동기건강신생인30례작위대조조。통계분석량조혈유산화혈당수평여신생인질식적관계병진행산후신생인질식발생적위험인소적다인소분석。결과：관찰조혈유산화혈당수평분별위（5.86±2.18）mmol/L화（5.15±2.26）mmol/L，현저고우대조조적（2.81±0.49）mmol/L화（2.74±0.62）mmol/L，차이유통계학의의（P<0.05）。Pearson상관성분석결과현시，혈유산화혈당수평균여신생인질식정부상관（P<0.05）。logistic다원회귀분석결과현시산후신생인질식발생적위험인소유고혈유산、혈당、간접담홍소화혈압등。결론：혈유산연합혈당감측가능성위산후신생인질식적중요예측지표，가용우산후신생인질식적보조진단。
Objective:To investigate the role of the monitoring of blood lactic acid and blood sugar levels in the diagnosis of postpartum neonatal asphyxia. Methods:Eighty newborns with asphyxia in our hospital from February, 2013 to March, 2014 were selected as an observation group and meanwhile 30 cases healthy newborns as a control group. Blood lactate and blood sugar levels in two groups were compared. The relationship between postpartum neonatal asphyxia and both blood lactate and blood sugar levels and risk factors of postpartum neonatal asphyxia were analyzed. Results:Blood lactate and blood sugar levels in the observation group were (5.86±2.18) mmol/L and (5.15±2.26) mmol/L, which were signiifcantly higher than the (2.81±0.49) mmol/L and (2.74±0.62) mmol/L in the control group (P<0.05). The results of Pearson correlation analysis showed that both blood lactate and blood sugar levels were negatively correlated with postpartum neonatal asphyxia (P<0.05). The results of Logistic multivariate regression analysis showed that the risk factors resulting in postpartum newborns asphyxia were ascribed to the high levels of blood lactic acid, blood sugar and indirect bilirubin and blood pressure, etc. Conclusion:The levels of both blood lactic acid and blood sugar may be as an important predictors for postpartum neonatal asphyxia, which can be used for the auxiliary diagnosis of postpartum neonatal asphyxia.
