论文部分内容阅读
目的:探讨新生儿低血糖发生情况及其影响因素。方法:回顾性分析该院2012年3月~2014年3月分娩的低血糖患儿55例作为病例组,采取1∶2的方式选择同期110例正常新生儿作为对照组,采用单因素及多因素进行统计分析。结果:2012年3月~2014年3月间该院妇产科成功分娩1 208例新生儿,发生55例出生低血糖新生儿,新生儿低血糖发生率为4.55%。单因素分析结果显示病例组和对照组两组间日龄是否≤3天、出生体重是否≤2 500 g、是否合并妊娠期高血压、孕母是否合并糖尿病、新生儿是否并发低体温、新生儿是否并发胆红素血症、新生儿是否并发低氧血症在两组间比较差异具有统计学意义(P<0.05)。Logistic回归分析结果显示出生体重≤2 500 g(OR=1.705)、合并妊娠期高血压(OR=1.976)、孕母合并糖尿病(OR=2.194)、新生儿并发低体温(OR=1.473)、新生儿并发胆红素血症(OR=1.284)、新生儿并发低氧血症(OR=1.308)是新生儿发生低血糖的危险因素,差异具有统计学意义。结论:对发生低血糖的患儿应该针对危险因素给予针对性措施,降低新生儿低血糖的发生率。
Objective: To investigate the incidence of neonatal hypoglycemia and its influencing factors. Methods: A retrospective analysis of the hospital from March 2012 to March 2014 55 cases of hypoglycemia childbirth as a case group, take a 1: 2 way to select the same period of 110 cases of normal newborn as a control group, using single factor and more Factors for statistical analysis. Results: Between March 2012 and March 2014, a total of 1 208 newborns were delivered to the obstetrics and gynecology department in our hospital. 55 newborns with hypoglycemia and 4.55% neonatal hypoglycemia occurred. Univariate analysis showed that the day-old age and the control group were less than 3 days, birth weight was less than or equal to 2 500 g, with or without gestational hypertension, pregnant women with diabetes mellitus, neonates with hypothermia, neonatal Whether complicated with bilirubin, neonatal hypoxemia complicated by the difference between the two groups was statistically significant (P <0.05). Logistic regression analysis showed that birth weight ≤2 500 g (OR = 1.705), combined gestational hypertension (OR = 1.976), maternal diabetes mellitus (OR = 2.194), neonatal hypothermia (OR = 1.473) Children with concurrent bilirubin (OR = 1.284) and neonatal hypoxemia (OR = 1.308) were risk factors for hypoglycemia in newborns. The difference was statistically significant. Conclusion: Children with hypoglycemia should be targeted to risk factors to reduce the incidence of neonatal hypoglycemia.