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目的 探讨母亲孕期合并症对围产儿的影响。方法 对 5 2例母亲有孕期合并症的新生儿及 47例正常足月儿于生后 3d内 ,静脉补液前 ,进奶前半小时 ,股静脉采血 ,测血糖值、血钙和红细胞压积值 (HCT)。结果 5 2例母亲有孕期合并症的新生儿发生低血糖 (HG)、低血钙 (HC)和新生儿红细胞增多症 (NP)共 17例 ,占32 .6 %。正常足月儿 2例 ,占 4.2 6 % ,两组发生率差异有显著性意义 (χ2 =12 .87,P <0 .0 1)。其中母有糖尿病、肝内胆汁郁积症者发生率占首位 ,三种情况中又以HG发生率最高 ,其次为HC与NP并列。结论 对母孕期有合并症的新生儿生后 2 4h尤其 8h内常规监测血糖、血钙和HCT值 ,有助于对患儿早期处理。
Objective To investigate the impact of maternal complications during pregnancy on perinatal children. Methods Fifty-two newborns with mothers with pregnancy complications and 47 normal term infants were divided into three groups before and after intravenous rehydration, half an hour before milk, blood samples taken from femoral vein, blood glucose, blood calcium and hematocrit (HCT). Results There were 17 cases (32.6%) of hypoglycemia (HG), hypocalcemia (HC) and neonatal polycythemia (NP) in 52 newborns with mothers with pregnancy complications. Two cases of normal term infants, accounting for 4.2 6%, the difference between the two groups was significant (χ2 = 12.87, P <0.01). The mother of diabetes, intrahepatic cholestasis prevalence rate of the first place, in three cases and the highest incidence of HG, followed by HC and NP juxtaposed. Conclusion Neonates with complications during the first trimester of pregnancy are routinely monitored for blood sugar, serum calcium and HCT within 24 hours, especially 8 hours after birth, which is helpful for early treatment of children.