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目的:探讨葡萄糖注射液结合早期护理对剖宫产新生儿低血糖的干预效果。方法:选择2014年11月至2015年11月杭州市妇产科医院收治的因剖宫产发生低血糖的患儿共60例,采用随机数字表法分为观察组和对照组各30例。对照组仅采用葡萄糖注射液常规治疗,观察组在对照组治疗基础上给予早期护理,治疗3 d后观察两组患儿血糖浓度的变化和并发症的发生情况。结果:治疗3 d后观察组患儿血糖浓度恢复正常且高于对照组[(3.45±0.13)mmol/L vs(2.24±1.11)mmol/L,P<0.05],震颤、抽搐、呼吸不规则、尖叫的发生率低于对照组(3.33%vs 13.33%、3.33%vs 16.67%、6.67%vs 20.00%、3.33%vs 10.00%,P均<0.05)。结论:葡萄糖注射液结合早期护理可有效纠正新生儿的低血糖状态、预防并发症状的发生,值得临床推广应用。
Objective: To investigate the effect of glucose injection combined with early nursing intervention on neonatal hypoglycemia in cesarean section. Methods: A total of 60 children with hypoglycemia due to cesarean section were selected from November 2014 to November 2015 in Hangzhou Maternity and Child Health Hospital. The patients were randomly divided into observation group (30 cases) and control group (30 cases). The control group was treated with glucose injection only routinely. The observation group was given early nursing care on the basis of the control group. After 3 days of treatment, the change of blood glucose level and the complication occurred in both groups. Results: The blood glucose of the observation group returned to normal after 3 days of treatment and was significantly higher than that of the control group [(3.45 ± 0.13) mmol / L vs (2.24 ± 1.11) mmol / L, P <0.05] (3.33% vs 13.33%, 3.33% vs 16.67%, 6.67% vs 20.00%, 3.33% vs 10.00%, all P <0.05). Conclusion: Glucose injection combined with early nursing can effectively correct neonatal hypoglycemia and prevent the occurrence of complications, which is worthy of clinical application.