新生儿血糖监测（附32例临床分析）

应用英国产“ＨＹＰＯＣＯＵＮＴＧＡ”微量血糖测定仪（氧化酶光电比色法）对同期住院新生儿不分病种连续３天进行空腹血糖监测。结果在原发疾病情况下表现出低血糖发生频率高，而低血糖症状又被原发疾病所掩盖。在３２例中足月儿２３例，足月小样儿４例，早产儿５例，在３２例９６次监测中发现低血糖１４例，其中足月儿９例，早产儿５例．发病率为４３．７％；高血糖３例。无一例死亡。提示：新生儿患病情况下，易发生低血糖，其发生与疾病、孕周有关而与体重无关。因此，在新生儿期必须注意及时喂养与补充葡萄糖，防止低血糖时间过长对脑部造成损伤。

Blood-glucose monitor of newborn:Clinical analysis of 32 cases

Fasting blood-glucose monitor was carried out for 3 days succeessively inhospitalized newborn with various diseases by using “HYPOCOUNT GA”trace blood sugar monitor(oxidizer enzyme photoelectricity colormetricmethod)from July to August,1992.Results showed that hypoglycemia occuringfrequency was higher under the situation of primary diseasesand the symptomsof hypoglycemia were hidden by those of the primary diseases.Out of 32 cases,there were 23 maturebabies,5 preterm infants and 4 small for date infants. Through monitoring for 96 times,14 cases were found with hypoglycemia,in-cluding 9 mature infants,5 preterm infants.The incidence rate was 43.7%,3cases were found with high blood sugar but no one died.It is suggested thatwhen the newborn become ill, it is easy to occur hypoglycemia. The occurence isassociated with primary diseases and pregnant weeks but not with the weight ofnewborn. Therefore,the newborn should be fed and replenished with glucosepromptly to prevent them from damage to brains caused by prolongedhypoglycemia.