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目的:探讨新生儿窒息与血糖异常的关系。方法:回顾性分析2011年1月~2013年12月廊坊市人民医院及我院附属医院新生儿窒息患儿的160例临床资料,根据Apgar评分分为轻度窒息102例和重度窒息58例。结果:轻度窒息组血糖异常以低血糖为主,重度窒息组血糖异常以高血糖为主,窒息程度越重血糖异常发生率越,差异有统计学差异(p<0.05)。轻度窒息组血糖值为3.37±0.45mmol/L,重度窒息组血糖值为7.17±0.58mmol/L,差异有统计学差异(p<0.05)。结论:窒息程度越重,血糖异常发生率越高;轻度窒息新生儿血糖异常以低血糖为主,重度窒息以高血糖为主。血糖值与窒息程度成正比,血糖可监测新生儿窒息的程度和预后。
Objective: To investigate the relationship between neonatal asphyxia and abnormal blood glucose. Methods: The clinical data of 160 cases of neonatal asphyxia in Langfang People’s Hospital and Affiliated Hospital of our hospital from January 2011 to December 2013 were retrospectively analyzed. According to Apgar score, there were 102 cases of mild asphyxia and 58 cases of severe asphyxia. Results: Mild hypoglycemia was the main reason of hypoglycemia in mild asphyxia group. Hyperglycemia was the main reason of hyperglycemia in severe asphyxia group. The higher the degree of asphyxia was, the more the incidence of dysglycemia was, the difference was statistically significant (p <0.05). The blood glucose level was 3.37 ± 0.45mmol / L in mild asphyxia group and 7.17 ± 0.58mmol / L in severe asphyxia group, the difference was statistically significant (p <0.05). Conclusion: The heavier degree of asphyxia, the higher the incidence of abnormal blood glucose; low blood sugar in neonates with mild asphyxia, and high blood sugar mainly in severe asphyxia. Blood glucose levels are directly proportional to the degree of asphyxia, and blood glucose monitors the extent and prognosis of neonatal asphyxia.