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目的观察重度新生儿缺氧缺血性脑病患儿体内高血糖动态变化及预后情况。方法应用罗氏ACCU-CHEKActive血糖检测仪及相应配套试纸监测21例重度新生儿缺氧缺血性脑病患儿生后高血糖变化,并应用婴幼儿发育检查手册(即Gesell量表)测量患儿6个月、12个月发育状况。结果重度新生儿缺氧缺血性脑病患儿高血糖纠正至正常值范围所需时间越长,Gesell评分达到正常范围的患儿数越少。结论重度新生儿缺氧缺血性脑病患儿高血糖纠正至正常值范围所需时间越长,预后越差。
Objective To observe the dynamic changes and prognosis of hyperglycemia in children with severe neonatal hypoxic-ischemic encephalopathy. Methods The changes of hyperglycemia in 21 severe neonates with hypoxic-ischemic encephalopathy were monitored with Roche’s ACCU-CHEKActive blood glucose meter and corresponding test strips. The changes of hyperglycemia in infants with severe neonatal hypoxic-ischemic encephalopathy Month, 12 months of development. Results The longer it took for children with severe neonatal hypoxic-ischemic encephalopathy to correct their hyperglycemia to the normal range, the fewer children got Gesell’s score within the normal range. Conclusion Severe neonatal hypoxic ischemic encephalopathy in children with hyperglycemia corrected to the normal range of the longer the time, the worse the prognosis.