CAJ | 학술논문

目的：探讨新生儿低血糖的临床特点和高危因素,以求为临床诊治提供依据。方法：监测并分析广东省潮安区人民医院收治的250例存在血糖高危因素的新生儿的血糖水平。结果：250例高危因素新生儿中140例出现低血糖症状,其中12例(8.6％)患儿的母亲有糖尿病史,26例(18.6％)患儿喂养困难,34例(24.3％)患儿存在围生期窒息,18例(12.9％)患儿感染硬肿症或败血症,28例(20％)患儿为早产儿,24例(17.1％)患儿为足月小样儿。140例患有低血糖的新生儿中有10例出现青紫症状、26例出现嗜睡症状、11例出现抽搐症状、15例出现呼吸暂停症状、8例出现吸吮力差症状、70例为无症状型低血糖。结论：常规检测具有高危因素的新生儿的血糖水平,以及早发现和治疗,从而减少、避免低血糖对新生儿造成的损伤。
목적：탐토신생인저혈당적림상특점화고위인소,이구위림상진치제공의거。방법：감측병분석광동성조안구인민의원수치적250례존재혈당고위인소적신생인적혈당수평。결과：250례고위인소신생인중140례출현저혈당증상,기중12례(8.6％)환인적모친유당뇨병사,26례(18.6％)환인위양곤난,34례(24.3％)환인존재위생기질식,18례(12.9％)환인감염경종증혹패혈증,28례(20％)환인위조산인,24례(17.1％)환인위족월소양인。140례환유저혈당적신생인중유10례출현청자증상、26례출현기수증상、11례출현추휵증상、15례출현호흡잠정증상、8례출현흡전력차증상、70례위무증상형저혈당。결론：상규검측구유고위인소적신생인적혈당수평,이급조발현화치료,종이감소、피면저혈당대신생인조성적손상。
Objective:To explore the clinical characteristics and high risk factors of the occurrence in the newborn hypoglycemia disease, in order to provide basis for clinical diagnosis and treatment of prevention. Methods:Blood glucose levels of 250 newborns with high risk factors of blood glucose levels admitted in People’ s Hospital of Chaoan district, Guangdong Province were monitored and analyzed. Results:In 250 newborns with high risk factors of blood glucose, there were 140 neonates with hypoglycemia, and among them, there were 12 cases ( 8. 6%) had diabetic mother, 26 cases ( 18. 6%) with feeding difficulties, 34 cases ( 24. 3%) with perinatal asphyxia, 18 cases ( 12. 9%) infected with scleroderma or sepsis, 28 cases ( 20%) were mature low birth weight infants. In 140 hypoglycemic cases of newborn, there were 10 cases with cyanotic symptom, 26 cases with drowsiness, 11 cases with twitch, 15 cases with apnea, 8 cases with poor sucking capability, and 70 cases with asymptomatic hypoglycemia. Conclusion:Through conventional detection on newborns with high risk factors of blood glucose levels, it could reduce or avoid the damage of hypoglycemia to newborn with early diagnosis and treatment.