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目的研究分析导致新生儿发生低血糖的高危因素和治疗措施。方法回顾性分析2010年1月-2010年6月我院母婴同室收治的227例发生新生儿低血糖患儿的临床资料。结果早产儿、小于胎龄儿与足月儿比较,发生率差异有统计学意义(P<0.05);低出生体重儿、巨大儿与正常出生体重儿比较,发生率差异有统计学意义(P<0.05);糖耐量异常母亲、糖尿病母亲与血糖正常母亲比较,发生率差异有统计学意义(P<0.05)。治疗后221例恢复正常,6例应用氢化可的松治疗后恢复正常。结论早产儿和小于胎龄儿、低出生体重儿及巨大儿、糖耐量异常母亲及糖尿病母亲是新生儿发生低血糖最常见的高危因素,对存在高危因素的婴儿及时监测血糖、尽早哺乳、加强喂养能够有效减少新生儿低血糖的发生。
Objective To study and analyze the risk factors and treatment of hypoglycemia in neonates. Methods The clinical data of 227 neonates with hypoglycemia admitted to our hospital from January 2010 to June 2010 were retrospectively analyzed. Results There was significant difference in the incidence of preterm infants, small gestational age children and full-term infants (P <0.05). The incidences of low birth weight infants, macrosomia children and normal birth weight children were significantly different (P <0.05). There was significant difference in the incidence between normal glucose tolerance and mothers with normal glucose tolerance (P <0.05). 221 cases returned to normal after treatment, and 6 cases returned to normal after treatment with hydrocortisone. Conclusion The most common risk factors of hypoglycemia in newborns are preterm infants, small gestational age children, low birth weight infants and macrosomia, impaired glucose tolerance and diabetic mothers. The infants with high risk factors should be monitored for blood sugar as soon as possible, breastfeed and strengthened as soon as possible Feeding can effectively reduce the incidence of neonatal hypoglycemia.