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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 2 6 3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 (2 1 .1 % )较阴道产组高 ,新生儿低血糖组母亲产前禁食时间 [(1 4 .2 6± 1 .90 )h]、产时发生低血糖率(6 7.6 % )及合并酮症率 (85 .3% )均较正常新生儿血糖组高 (P均 <0 .0 1 )。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 .0 1 ,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 .0 1。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。
Objective To investigate the impact of maternal and child-related factors on neonatal blood glucose. Methods The prenatal fasting time of 263 pregnant women was recorded. The blood glucose, urine routine and the blood sugar at 30min after birth were measured at delivery. The mode of delivery was recorded at the same time. Results The incidence of neonatal hypoglycemia in cesarean section was higher than that in vaginal delivery group (P <0.05). The prenatal fasting time of newborn hypoglycemia group [(14.26 ± 1) .90) h]. The incidence of hypoglycemia (7.62%) and combined ketosis (85.3%) during labor were higher than those of normal neonates (all P <0.01). The above factors and neonatal blood sugar do Logistic regression. Maternal glucose during pregnancy and neonatal blood glucose most closely, Chi Square test P <0. 01, the regression equation makes sense. Neonatal blood glucose and maternal glucose during pregnancy was a linear positive correlation, P <0. Conclusion There is a linear positive correlation between maternal glucose during birth and neonatal blood glucose. Labor should encourage eating, cesarean section prenatal pregnant women should shorten the fasting time to reduce the incidence of hypoglycemia in pregnant women and newborns.