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目的:分析新生儿糖代谢紊乱的相关因素,探讨病因和防治措施。方法:住院新生儿血糖紊乱136例监测和处理。所有患儿监测至2次空腹血糖正常为止。计数资料采用χ2检验。结果:糖代谢紊乱136例,其中低血糖症81例,高血糖症38例,二者兼有17例。血糖异常与胎龄呈显著负相关(P<0.001);与出生体量呈显著负相关(P<0.01);轻度窒息组血糖紊乱以低血糖症为主,重度窒息组血糖紊乱以高血糖症居多(P<0.01);血糖恢复时间与窒息程度呈显著正相关(P<0.01);血糖异常与感染程度呈显著正相关(P=0.017);糖尿病母亲婴儿易患低血糖症。结论:高危儿尽早进行血糖监测,对血糖异常者及时处理,以减少或避免后遗症发生。
Objective: To analyze the related factors of neonatal glucose metabolism disorder, to explore the etiology and prevention measures. Methods: 136 cases of neonatal hypoglycemia in hospital were monitored and treated. All children were monitored until two fasting blood glucose was normal. Counting data using χ2 test. Results: 136 cases of disorders of glucose metabolism, including 81 cases of hypoglycemia, hyperglycemia in 38 cases, both of them 17 cases. There was a significant negative correlation between abnormal blood glucose and gestational age (P <0.001), negative correlation with birth weight (P <0.01), mild hypoglycemia with hypoglycemia, severe asphyxia with hyperglycemia (P <0.01). There was a significant positive correlation between blood glucose recovery time and asphyxia (P <0.01). There was a significant positive correlation between blood glucose and infection (P = 0.017). Infants with diabetes were predisposed to hypoglycemia. Conclusion: High-risk infants should be monitored for blood glucose as soon as possible, and those with abnormal blood glucose should be treated in time to reduce or avoid sequelae.