新生儿低血糖症76例临床分析

目的:探讨新生儿低血糖发生的危险因素,以便更好地预防和治疗。方法:广西医科大学第七附属医院新生儿病房2007年1月~2008年12月收治的957例新生儿于入院时进行血糖筛查并进行回顾性分析。结果:957例新生儿中,诊断为新生儿低血糖76例,总发生率为7.94%。早产儿低血糖36例,发生率为21.05%;足月儿低血糖37例,发生率为4.96%;过期产儿低血糖3例,发生率为7.5%。前两者比较差异有统计学意义(2χ=49.17,P<0.01)。低出生体重儿低血糖39例,发生率为21.08%;巨大儿低血糖8例,发生率为12.90%;正常出生体重儿低血糖29例,发生率为4.08%。前两者与后者分别比较,差异均有统计学意义(2χ=60.39,P<0.01;2χ=9.72,P<0.01)。结论:新生儿低血糖的治疗关键在于预防,对存在早产、低出生体重、巨大儿、窒息、感染等低血糖危险因素的新生儿,均应严密监测血糖,且对新生儿实行早接触、早吸吮、早开奶,以预防及早期发现低血糖,及时治疗,防止严重的并发症出现,防止对新生儿造成危害,尤其是中枢神经系统的危害。

The clinical analysis of 76 cases of newborns with hypoglycemia

Objective:To investigate the risk factors of newborns with hypoglycemia and the way for better prevention and treatment..Methods:957 newborns in newborn nursery were retrospectively analyzed on screening blood sugar..Results:76 of 957 newborns were diagnosed hypoglycemia(7.94%).36 premature newborns had hypoglycemia(7.94%).37 term infants had hypoglycemia(4.96%).There was highly significantly different among them.39 low birth weight infants had hypoglycemia(21.08%).8 large for date infants had hypoglycemia(...