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目的:了解高海拔地区新生儿出生3天内的血糖及影响因素。方法:对在我院出生的母婴同室新生儿915例,取足跟血用日本京都GT-1640血糖仪做微量血糖分析。结果:①发现低血糖63例,占新生儿的6.78%。与相关报道比较,高寒低氧环境新生儿低血糖发生率并不高于平原地区;②出生72小时内血糖值逐渐升高;③顺产新生儿与剖宫产新生儿血糖有显著性差别;④早产儿、小于胎龄儿易出现低血糖。结论:新生儿血糖监测极其重要,可及时发现和纠正新生儿低血糖,应常规对所有出生72小时内的新生儿做血糖监测,特别加强剖宫产分娩及低出生体重儿的血糖监测,及时纠正低血糖。
Objective: To understand the neonatal blood glucose and its influencing factors within 3 days after birth in high altitude areas. Methods: A total of 915 newborn infants born in our hospital were collected for blood glucose analysis using the Japanese GT-1640 blood glucose meter. Results: ①Hypoglycemia was found in 63 cases, accounting for 6.78% of newborns. Compared with the related reports, the incidence of hypoglycemia in newborns in alpine hypoxia environment was not higher than that in plain areas; ②the blood glucose level gradually increased within 72 hours of birth; ③the blood glucose of newborns with cesarean section was significantly different; ④ Premature children, less than gestational age prone to hypoglycemia. Conclusion: Neonatal blood glucose monitoring is extremely important, timely detection and correction of neonatal hypoglycemia, blood glucose monitoring should be routinely performed for all newborns within 72 hours of birth, especially in cesarean section delivery and low birth weight children’s blood glucose monitoring, timely Correct hypoglycemia.