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目的:了解新生儿无症状低血糖的发生状况并探讨导致其发生的相关因素。方法:对河南科技大学第一附属医院2009年1月～2010年7月出生的1 477例新生儿常规进行血糖监测,并对52例无症状低血糖新生儿进行相关因素分析。结果:①该组病例中,无症状新生儿低血糖发生率为3.6%。新生儿无症状低血糖组平均血糖水平为(1.779±0.276)mmol/L,有症状低血糖组血糖水平为(1.393±0.374)mmol/L,两组比较有统计学差异(P<0.001)。②早产儿、产妇和患儿伴有相关疾病或合并症更易诱发伴有临床症状的新生儿低血糖(P<0.05)。结论:新生儿无症状低血糖容易被临床医务人员忽视,血糖筛查可有效地降低其引发的不良后果。
Objective: To understand the incidence of asymptomatic hypoglycemia in neonates and to explore the factors that cause their occurrence. Methods: A total of 1,477 neonates born from January 2009 to July 2010 in the First Affiliated Hospital of Henan University of Science and Technology were monitored for blood glucose, and related factors were analyzed in 52 asymptomatic neonates with hypoglycemia. Results: ①In this group, the incidence of hypoglycemia in asymptomatic neonates was 3.6%. The average blood glucose level of neonatal asymptomatic hypoglycemia group was (1.779 ± 0.276) mmol / L, and the symptomatic hypoglycemia group was (1.393 ± 0.374) mmol / L. There was significant difference between the two groups (P <0.001). ② premature children, maternal and children with associated diseases or complications more likely to induce neonatal hypoglycemia with clinical symptoms (P <0.05). Conclusion: Asymptomatic hypoglycemia in neonates is easily neglected by clinicians, and blood sugar screening can effectively reduce the adverse consequences caused by it.