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目的 了解血糖在重症新生儿疾病中的临床意义。方法 对 10 8例重症新生儿进行动态血糖监测并分析。结果 血糖正常 2 8例 ,低血糖 18例 ;高血糖 6 2例 ,存活组 79例 ,血糖 5 .2 7± 1.2 8(mm ol/ L) ;死亡组 2 9组 ,血糖 [16 .5 2± 10 .2 1(mm ol/ L ) ],死亡组血糖明显高于存活组 (P<0 .0 1) ,随血糖升高 ,死亡率逐渐增高 (P<0 .0 1)。结论 重症新生儿疾病常伴血糖变化 ,血糖越高 ,死亡率越高 ,病情越重。
Objective To understand the clinical significance of blood glucose in severe neonatal diseases. Methods Dynamic blood glucose monitoring and analysis of 108 severe neonates were performed. Results There were 28 cases of normal glucose, 18 cases of hypoglycemia, 62 cases of hyperglycemia, 79 cases of survival, blood glucose of 5 27 ± 1.2 8 (mm ol / L), 29 cases of death, blood glucose [16.52 ± 10. 21 (mm ol / L)]. The blood glucose in the death group was significantly higher than that in the survival group (P <0.01). The mortality increased with the increase of blood glucose (P <0.01). Conclusion Severe neonatal diseases often accompanied by changes in blood glucose, the higher the blood glucose, the higher the mortality rate, the more serious the disease.