孕妇产时相关因素对新生儿血糖的影响

目的 探讨孕妇产时相关因素对新生儿血糖的影响.方法 记录263例孕妇产前禁食时间,检测分娩时血糖、尿常规及新生儿出生后30min血糖,同时记录分娩方式.结果 采用单因素两两比较,剖宫产新生儿低血糖发生率(21.1%)较阴道产组高,新生儿低血糖组母亲产前禁食时间[(14.26±1.90)h]、产时发生低血糖率(67.6%)及合并酮症率(85.3%)均较正常新生儿血糖组高(P均<0.01).将以上各因素与新生儿血糖做Logistic回归.孕妇产时血糖与新生儿血糖关系最密切,Chi-Square检验P<0.01,回归方程有意义.新生儿血糖与孕妇产时血糖呈直线正相关关系,P<0.01.结论 孕妇产时血糖与新生儿血糖呈直线正相关.产程中应鼓励进食,剖宫产孕妇产前应缩短禁食时间,以减少孕妇及新生儿低血糖的发生.

The effect of intrapartum factors of women on newborn blood glucose

Objective To explore the effect of intrapartum factors of women on newborn blood glucose.Methods To record the fasting time before delivery,examine intrapartum blood glucose,urine routine in 263 pregnant women and blood glucose of their newborn half hour after delivery.Parturition pattern were also observed.Results The mobility of hypoglycemia of newborn by cesarean section was higher than that by natural delivery.The antepartum fasting time intrapartum mobility of hypoglycemia and ketonemia of pregnant women whose newborn were hypoglycemia were higher than that of normal gorup ( P <0.01).Logistic regression suggested that blood glucose of pregnant women was closely related to hypoglycemia of newborn (Chi Square stutistics P <0.01).The blood glucose of newborn was linearly proportional to that of pregnant women ( r=0.645,P <0.01).Conclusions Intrapartum blood glucose of women is closely related to blood glucose of newborn,there is a linear relation between them,caring for pregnant women and taking some food should be encouraged during delivery.Reducing the fasting time of pregnant women by cesarean section can avoid ketonemia and reduce mobility of hypoglycemia of both mother and newborn.