新生儿低血糖的影响因素及防治措施

目的 探讨新生儿低血糖的影响因素及防治措施.方法 回顾性分析1342例新生儿的临床资料,总结新生儿低血糖的影响因素及防治措施.结果 1342例诊断为低血糖症104例(7.75％).＜ld发病者56例(53.85％),l～3d发病者39例(37.50％),＞3d发病者9例(8.65％).胎龄＜37周的低血糖症发生率高于≥37周的新生儿(P＜0.05).体质量在2500～4000g的新生儿低血糖症的发生率低于＞4000 g和＜2500 g的新生儿(P＜0.05).经阴道分娩的新生儿低血糖症的发生率低于剖宫产儿(P＜0.05).结论 治疗新生儿低血糖的关键在于预防,对于有高危因素的患儿应严密监测血糖.及早发现,及时治疗,可以改善其预后.

Analysis of risk factors of newborns with hypoglycemia and its prevention methods

Objective To explore the risk factors of newborns with hypoglycemia and its prevention meth- ods. Methods Clinical data of 1542 newborns were analyzed retrospectively, and the risk factors of newborns with hypoglycemia and its prevention methods were summarized. Re.suits Of 1342 newborns, 104 cases （7.75%） were confirmed with diagnoses of neonatal hypoglycemia. The duration of 56 cases （53.85 % ） was less than 1 day and 9 ca- ses（8.65% ） was more than 3 days,while 39 cases（3% 5% ） was 1 day to 3 days. The incidence of hypoglycemia of newborns （ gestational age 〈 37 weeks） was higher than that of those newborns （ gestational age ≥ 37 weeks） （ P 〈 0. 05 ）. The incidence of hypoglycemia with the birth weight from 2500g to 4000g was lower than the newborns with the birth weight more than 4000g or less than 2500g（ P 〈 0.05 ）. The incidence of hypoglycemia of vaginal delivery newborns was lower than that of cesarean section newborns （P 〈 0.05）. Conclusion The key point of treatment for newborns with hypoglycemia is prevention. For the neonates who are likely to suffer from hypoglycemia, blood sugar level needs to monitor frequently. Early diagnosis,detection and corrective measures could avoid damages to the cen- tral nervous system of neonates caused by hypoglycemia.