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目的:探讨新生儿低血糖症的高危因素及临床防治。方法:对2010年1月-2012年8月我院收治的有低血糖高危因素的267例新生儿的临床资料进行回顾性分析。结果:检出低血糖83例,无特异性临床症状;患有新生儿窒息、新生儿缺氧缺血性脑病、早产儿及小于胎龄儿及糖尿病母亲娩出的新生儿发生低血糖症的发生率较高。早产儿、低出生体重儿、巨大儿低血糖症的发生率显著高于正常胎儿,P<0.05。结论:对于有低血糖症的高危因素的患儿应严密监测血糖情况,尽早进行防治,避免因低血糖造成脑损伤。
Objective: To investigate the risk factors and clinical prevention and treatment of neonatal hypoglycemia. Methods: The clinical data of 267 newborns with high risk of hypoglycemia in our hospital from January 2010 to August 2012 were analyzed retrospectively. Results: Hypoglycemia was detected in 83 cases with no specific clinical symptoms. Hypoglycemia occurred in newborns with neonatal asphyxia, neonatal hypoxic-ischemic encephalopathy, premature infants and small gestational age and diabetic mothers Higher rate. The incidence of hypoglycemia in preterm infants and low birth weight infants was significantly higher than that in normal fetuses (P <0.05). Conclusion: For children with high risk of hypoglycemia, blood glucose should be closely monitored and prevented as soon as possible to avoid brain damage caused by hypoglycemia.