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目的对入住母婴同室的足月正常体质量的新生儿低血糖发生率的进行调查,旨在为早期发现新生儿低血糖提供参考。方法对入住母婴同室的足月正常体质量的157例新生儿进行常规的微量血糖监测。结果 157例新生儿共检出低血糖症26例。剖宫产87例,发生低血糖症21例,发生率为24.14%;自然分娩70例,发生低血糖症5例,发生率为7.14%。两者差异有统计学意义(<0.01)。有高危因素的剖宫产母亲的新生儿62例,发生低血糖14例,发生率为22.58%;因社会因素剖宫产母亲的新生儿25例,发生低血糖7例,发生率为28.0%。两者差异无统计学意义(>0.05)。结论对所有新生儿均要监测血糖,及时发现并纠正低血糖,以免引起新生儿中枢神经系统损害,遗留神经系统后遗症。
Objective To investigate the incidence of neonatal hypoglycemia of full-term normal body mass in the same room of mothers and infants, aiming to provide a reference for early detection of neonatal hypoglycemia. Methods A total of 157 newborn infants with full-term normal body mass who were admitted to the same room of maternal and infants underwent routine blood glucose monitoring. Results 157 newborns were detected in 26 cases of hypoglycemia. Cesarean section in 87 cases, 21 cases of hypoglycemia occurred, the incidence was 24.14%; 70 cases of natural delivery, hypoglycemia occurred in 5 cases, the incidence was 7.14%. The difference was statistically significant (<0.01). 62 cases of cesarean section mothers with high risk factors, hypoglycemia occurred in 14 cases, the incidence rate was 22.58%; 7 cases of hypoglycemia due to social factors cesarean section mothers newborns, the incidence was 28.0% . There was no significant difference between the two groups (> 0.05). Conclusion For all newborns, blood glucose should be monitored, and hypoglycemia should be found and corrected in time so as to avoid damage to the central nervous system of newborn and neurological sequelae.