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目的探讨低出生体重儿生后早期动态血糖监测的临床意义。方法选取2005年1月～2010年3月的98例低出生体重新生儿为观察组,同期的218例正常新生儿为对照组,将两组新生儿分别于生后1、4、24、48h哺乳前测定血糖值,并进行比较。结果生后1、4、24、48h观察组的血糖值均显著低于对照组(均P﹤0.01);观察组的低血糖发生率明显高于对照组(P﹤0.01)。结论早期动态监测低出生体重儿血糖对指导、及时发现和纠正新生儿低血糖具有重要意义。
Objective To investigate the clinical significance of early dynamic glucose monitoring in low birth weight infants. Methods From January 2005 to March 2010, 98 cases of low birth weight neonates were selected as the observation group. 218 normal newborns in the same period were selected as the control group. The newborns were sacrificed at 1, 4, 24, 48 h Blood glucose levels were measured before breastfeeding and compared. Results The blood glucose of the observation group was significantly lower than that of the control group at 1, 4, 24 and 48 hours after birth (all P <0.01). The incidence of hypoglycemia in the observation group was significantly higher than that of the control group (P <0.01). Conclusion Early dynamic monitoring of low birth weight children’s blood glucose guidance, timely detection and correction of neonatal hypoglycemia is of great significance.