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目的:探讨新生儿低血糖的临床特点和高危因素,以求为临床诊治提供依据。方法:监测并分析广东省潮安区人民医院收治的250例存在血糖高危因素的新生儿的血糖水平。结果:250例高危因素新生儿中140例出现低血糖症状,其中12例(8.6%)患儿的母亲有糖尿病史,26例(18.6%)患儿喂养困难,34例(24.3%)患儿存在围生期窒息,18例(12.9%)患儿感染硬肿症或败血症,28例(20%)患儿为早产儿,24例(17.1%)患儿为足月小样儿。140例患有低血糖的新生儿中有10例出现青紫症状、26例出现嗜睡症状、11例出现抽搐症状、15例出现呼吸暂停症状、8例出现吸吮力差症状、70例为无症状型低血糖。结论:常规检测具有高危因素的新生儿的血糖水平,以及早发现和治疗,从而减少、避免低血糖对新生儿造成的损伤。
Objective: To investigate the clinical features and risk factors of neonatal hypoglycemia in order to provide the basis for clinical diagnosis and treatment. Methods: The blood glucose level of 250 newborns with high blood sugar risk factors admitted to the People’s Hospital of Chaoan District of Guangdong Province was monitored and analyzed. RESULTS: Hypoglycemia was found in 140 of 250 high risk neonates, of whom 12 (8.6%) had a history of diabetes, 26 (18.6%) had difficulty in feeding, and 34 (24.3%) had hypothyroidism There were perinatal asphyxia, 18 (12.9%) children with scleredema or septicemia, 28 (20%) with premature babies and 24 (17.1%) with full-term babies. Symptoms of cyanosis occurred in 10 of 140 hypoglycemic neonates, 26 in those who developed narcolepsy, 11 in convulsions, 15 in apnea, 8 in sucking poor, and 70 in asymptomatic Hypoglycemia. CONCLUSIONS: Conventional testing of blood glucose levels in neonates with high-risk factors, as well as early detection and treatment, reduces and avoids neonatal hypoglycemic damage.