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目的 :探讨正常新生儿低血糖在母婴同室的发生率。方法 :对我院产科 2 0 0 3年 5月～ 2 0 0 4年 4月出生的正常足月新生儿生后 2小时内常规使用足跟微量血进行血糖测定 ,血糖测定采用FreeStyle利舒坦血糖机。结果 :阴道顺产者正常足月新生儿低血糖的发生率 ( % ) 0 0 74± 0 0 2 8,择期剖宫产正常足月新生儿低血糖发生率 ( % ) 0 3 70± 0 0 62 ,急诊剖宫产正常足月新生儿低血糖发生率 ( % ) 0 2 5 6± 0 0 66,阴道顺产正常足月新生儿低血糖发生率与择期剖宫产、急诊剖宫产比较有明显的差异 (P <0 0 0 5 ) ,择期剖宫产正常足月新生儿低血糖发生率与急诊剖宫产比较有明显差异 ,及时补充口服葡萄糖能很快纠正低血糖。结论 :正常足月新生儿生后 2小时内行常规血糖监测也很有必要 ,可及时发现并防止低血糖对脑组织造成不可逆的损伤。
Objective: To investigate the incidence of normal neonatal hypoglycemia in the same room. Methods: The blood glucose of the normal full-term newborn born in our hospital from May 2003 to April 2004 was measured routinely using heel trace blood. The blood glucose was determined by FreeStyle Lishoutang blood glucose machine. Results: The incidence of hypoglycemia in full-term neonate in vaginal births (%) 0 0 74 ± 0 0 2 8, elective cesarean section rate of full-term neonatal hypoglycemia (%) 0 3 70 ± 0 0 62 , Emergency cesarean section normal full-term neonatal hypoglycemia incidence (%) 0 2 5 6 ± 0 0 66, vaginal birth normal full-term neonatal hypoglycemia and elective cesarean section, emergency cesarean section more obvious (P <0.05). The incidence of hypoglycemia in term full-term neonates with elective cesarean section was significantly different from that of emergency cesarean section. Oral glucose supplementation could promptly correct hypoglycemia. CONCLUSION: It is also necessary to perform routine glucose monitoring within 2 hours after birth in normal full-term newborns, which can promptly detect and prevent irreversible damage to brain tissue caused by hypoglycemia.