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目的观察窒息新生儿早期动态血糖监测的临床意义。方法选取窒息新生儿70例,作为监测组,其中重度窒息者28例,轻度窒息者42例,健康新生儿40例作为对照组,生后1h内,未进行任何输液治疗前,2～6h,7～12h,13～18h,19～24h这五段时间段中给于血糖监测,观察其临床情况。结果 1h内,2～6h,7～12h,监测组中重度窒息儿的血糖明显高于轻度窒息和正常新生儿(P<0.05),窒息儿的血糖在不断下降,正常新生儿血糖在不断上升。在13～18h,19～24h内,两组的血糖值差异不明显(P>0.05);两组在1h内出现血糖异常情况比较,监测组明显高于对照组(P<0.05),在其余时间段中,两组出现血糖异常例数比较(P>0.05)。结论加强早期监测窒息新生儿血糖,特别在6h以内的动态血糖,对治疗和预后具有较大的临床意义。
Objective To observe the clinical significance of early dynamic blood glucose monitoring in neonates with asphyxia. Methods Seventy neonates with asphyxia were selected as the monitoring group, including 28 cases of severe asphyxia, 42 cases of mild asphyxia and 40 healthy newborns as control group. Within 1 hour after birth, , 7 ~ 12h, 13 ~ 18h, 19 ~ 24h five time periods for blood glucose monitoring to observe the clinical situation. Results Within 1h, 2 ~ 6h, 7 ~ 12h, the blood sugar of the moderate-severe asphyxia children in the monitoring group was significantly higher than that of mild asphyxia and normal newborns (P0.05) rise. There was no significant difference in blood glucose between the two groups within 13-18h and 19-24h (P> 0.05). In the two groups, there was an abnormal blood glucose level within 1h, which was significantly higher in the monitoring group than in the control group (P <0.05) During the time period, there were more cases of abnormal blood glucose in the two groups (P> 0.05). Conclusion To strengthen early monitoring of neonatal asphyxia neonatal blood glucose, especially within 6h of dynamic blood glucose, the treatment and prognosis of great clinical significance.