新生儿窒息140例血糖监测的临床分析

目的探讨新生儿窒息后血糖水平与窒息临床分度的关系。方法选用笔者所在医院2004年1月至2009年1月确诊窒息的新生儿140例入院治疗前右侧足跟采血，用SurestepTM Hospital微量血糖测定仪测定血糖。结果轻度窒息82例，其中低血糖30例（36．59％），高血糖12例（14．63％），血糖异常发生率51．22％；重度窒息58例，其中低血糖11例（18．97％），高血糖29例（50．00％），血糖异常发生率68．97％；窒息程度越重，血糖异常发生率越高（x^2=4．41，P〈0．05）。结论新生儿窒息程度越重，血糖异常发生率越高。轻度窒息后血糖异常以低血糖为主，重度窒息后血糖异常以高血糖为主。新生儿窒息应注意血糖监测，血糖高者应限制葡萄糖液输入。

Analysis on blood sugar of 140 patients with neonatal asphyxia

Objective To examine the relation between blood sugar level and asphyxia grade. Methods Total 140 patients with neonatal asphyxia from Jan 2004 to Jan 2009 were studied. We took measurement of blood glucose using surestepTM Hospital after we collected the blood at right heel before treatment. Results There were 82 eases with mild asphyxia including 30 hypoglycemia （36. 59% ） and 12 hyperglycemia （ 14. 63% ）. The incidence of pathoglycemia was 51.22%. There were 58 cases with severe asphyxia including 11 hypoglycemia （ 18.97% ） and 29 hyperglycemia （50%）. The incidence of pathoglycemia was 68.97%. The more severe asphyxia was, the higher incidence of pathoglycemia was （X^2 = 4. 41, P 〈 0. 05）. Conclusion The incidence of hypoglycemia is higher after mild asphyxia and hyperglycemia is higher after severe asphyxia. The blood glucose should be monitored in patients with neonatal asphyxia.