目的:探讨新生儿低血糖的相关因素,为临床预防和治疗提供依据。方法:对存在低血糖因素的新生儿2 833例进行微量血糖筛查,并在治疗过程中进行监测,直至血糖恢复正常及稳定。结果:有287例发生低血糖,发生率为10.13%,早产和小于胎龄儿、非溶血性高胆红素血症、母妊娠期高血压综合征、母妊娠期糖尿病和糖耐量异常、新生儿感染、喂养困难为新生儿低血糖的高危因素。结论:母妊娠期糖尿病和糖耐量异常引起新生儿低血糖发生率较以住报道有明显升高,可能和该地区生活水平提高和孕期营养过剩有关,加强产前指导,合理控制孕期体重增长有助于预防新生儿低血糖。对于有低血糖高危因素的新生儿,及时监测血糖并及早处理低血糖,避免和减少低血糖脑损害有积极临床意义。 Objective: To investigate the related factors of neonatal hypoglycemia and provide the basis for clinical prevention and treatment. Methods: A total of 2 833 newborns with hypoglycemic factors underwent micro-blood glucose screening and monitored during treatment until the blood glucose returned to normal and stable. Results: There were 287 cases of hypoglycemia, the incidence was 10.13%, preterm and small gestational age children, non hemolytic hyperbilirubinemia, maternal gestational hypertension, gestational diabetes mellitus and impaired glucose tolerance, newborn Children infected, feeding difficulties for neonatal hypoglycemia risk factors. Conclusion: The incidence of hypoglycemia in neonates with abnormal gestational diabetes mellitus and impaired glucose tolerance is significantly higher than those reported in living quarters, which may be related to the improvement of living standards and excess nutrition during pregnancy in the area of ​​gestation, which can strengthen prenatal guidance and control the weight growth during pregnancy. Help prevent neonatal hypoglycemia. For neonates with high risk of hypoglycemia, it is of great clinical significance to monitor and monitor hypoglycemia in time to avoid and reduce hypoglycemic brain damage.