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目的探讨引起新生儿低血糖的危险因素及临床特点。方法对住院新生儿562例进行血糖监测。结果检出低血糖76例,发生率13.52%。其中早产儿及小于胎龄儿30.26%,窒息22.37%,感染17.11%,喂养不当11.84%,巨大儿7.89%,母婴ABO血型不合溶血病3.95%,糖尿病母亲婴儿3.95%,肺透明膜2.63%。结论早产儿、小于胎龄儿、窒息、感染、喂养不当、巨大儿等为新生儿低血糖的高危因素,应对其进行血糖监测并及时处理,以减少或避免后遗症的发生。
Objective To investigate the risk factors and clinical features of neonatal hypoglycemia. Methods 562 in-hospital neonates were monitored for blood glucose. Results 76 cases of hypoglycemia were detected, the incidence was 13.52%. Among them, 30.26% of preterm infants and children less than gestational age, asphyxiation of 22.37%, 17.11% of infections, 11.84% of improper feeding, 7.89% of macrosomia, 3.95% of hemolytic disease of mother and child with ABO incompatibility, 3.95% of infants with diabetic mothers and 2.63% . Conclusions Preterm infants, small gestational age, asphyxia, infection, improper feeding, macrosomia and other high risk factors for neonatal hypoglycemia should be monitored and timely treatment of blood glucose in order to reduce or avoid the occurrence of sequelae.