早产儿窒息后24小时动态血糖监测的临床意义

目的探讨早产儿窒息后血糖变化与窒息程度的关系,评价血糖监测对判断早产儿窒息严重程度及预后的意义.方法动态监测早产儿窒息后24小时血糖变化,比较不同体重和窒息程度早产儿生后0.5h内6h、12h、24h的血糖水平.结果1、胎龄越小、体重越轻,窒息程度越重,血糖发生异常越早,血糖波动越大,异常持续时间越长,不易纠正,预后不良;2、胎龄相对大,体重重,窒息轻者血糖较稳定,转归好.结论早产儿窒息后血糖异常生后即可发生,其变化与窒息程度及体重相关,对窒息早产儿应尽早动态监测血糖,血糖变化程度和治疗反应对判断病情及预后有重要意义.

The clinical significance of the early 24 hours blood glucose monitoring in asphyxial premature infant

Objective To explore the relation between the changes of blood glucose and asphyxial type, to evaluate the significance of the glucose measurement for judging the asphyxial type and prognosis in asphyxial premature infant. Methods To monitor the variety of the glucose during early 24hours in asphyxial premature infant, to compare the glucose level of the infant homed half hour, 6 hours, 12hours, 24hours of different birth weight or of different asphyxial type. Results 1. The more severe apnea was, the more early and obviously the blood sugar abnormality was in younger premature infant with lower birth weight, and longer it last. it is difficult to correct, and prognosis is worse. 2. The blood sugar is more stable for those elder premature infant with higher birth weight when apnea was not severe, and prognosis is better. Conclusions The blood sugar level could be abnormal immediately in premature infant when asphyxiated, the changes of blood sugar is relate to asphyxial type and birth weight, monitoring the glucose should be as early as possible, the changes of blood sugar and response to therapy is very important for judging disease condition and prognosis.