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目的探讨新生儿低血糖症病因及临床治疗状况。方法选择2010年1月~2012年7月本院新生儿科病房住院的低血糖新生儿215例,同期选择在我院进行正常体检与分娩的低血糖新生儿215例作为对照组,对两组进行血糖检测与进行调查内容分析。结果观察组新生儿多数在出生后1h内发生低血糖,76.64%在出生后1h内发生低血糖,65.58%持续时间不超过1h。所有低血糖患儿经治疗后,血糖多于12~24h内恢复正常。新生儿窒息、孕母糖尿病、羊水异常、胎膜早破、早产儿、双胎、孕母年龄为主要的独立危险因素(P<0.05)。结论新生儿低血糖多在早期发生,新生儿窒息、孕母糖尿病、羊水异常、胎膜早破、早产儿、双胎、孕母年龄为主要的独立危险因素(P<0.05),应根据危险因素加强预防与管理。
Objective To investigate the etiology and clinical treatment of neonatal hypoglycemia. Methods From January 2010 to July 2012, 215 neonates with hypoglycemia were admitted to neonatal ward of our hospital. 215 neonates with hypoglycemia, who were selected for physical examination and delivery in our hospital during the same period, were selected as the control group. Blood sugar testing and investigation of content analysis. Results Most newborns in observation group had hypoglycemia within 1h after birth, 76.64% had hypoglycemia within 1h after birth, and 65.58% did not exceed 1h. All children with hypoglycemia after treatment, blood glucose more than 12 ~ 24h returned to normal. Neonatal asphyxia, gestational diabetes mellitus, amniotic fluid abnormalities, premature rupture of membranes, preterm birth, twins and pregnant mothers were the main independent risk factors (P <0.05). Conclusion The incidence of neonatal hypoglycemia in the early stage, neonatal asphyxia, gestational diabetes mellitus, amniotic fluid abnormalities, premature rupture of membranes, premature children, twins, pregnant mothers age as the main independent risk factors (P <0.05), should be based on the risk Factors to strengthen prevention and management.