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目的探讨窒息新生儿的血糖变化及其干预方法。方法采用微量血糖测定仪检测110例窒息新生儿入院时的血糖,对合并低血糖和高血糖的患儿进行动态血糖监测,并通过调整葡萄糖的输注速度和浓度,使血糖控制在正常范围。结果 110例窒息新生儿入院时检出低血糖42例(占38.2%),高血糖26例(23.6%)。低血糖组24h时血糖基本恢复正常。高血糖组24h后血糖有所下降,但未恢复正常,继续监测至48h时血糖均值在正常范围,其中死亡2例临终前血糖17mmol/L。结论对窒息新生儿应加强血糖动态监测,及时纠正窒息引起的糖代谢紊乱有助于改善患儿预后。
Objective To investigate the changes of blood glucose in neonates with asphyxia and the intervention methods. Methods Blood glucose was measured in 110 neonates with asphyxia on admission by using a micro-blood glucose meter. Dynamic glucose monitoring was performed in children with hypoglycaemia and hyperglycemia. The blood glucose was controlled within the normal range by adjusting the infusion rate and concentration of glucose. Results Among the 110 asphyxiated newborns, 42 cases (38.2%) had hypoglycemia and 26 cases (23.6%) had hypoglycemia. Hypoglycemia group 24h blood glucose returned to normal. After 24 hours of hyperglycemia, the blood glucose level decreased but did not return to normal. The mean blood glucose level was maintained within 48 hours after the hyperglycemia group was treated, with 2 cases of pre-death blood glucose of 17 mmol / L. Conclusion Asphyxia neonatorum should strengthen the dynamic monitoring of blood glucose and timely correction of asphyxia caused by glucose metabolism disorder will help to improve the prognosis of children.