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目的:探讨对危重新生儿血糖监测的临床意义。方法:对2007-10-2009-03住院危重新生儿582例进行血糖监测,血糖异常者监测至空腹血糖正常2次为止。结果:582例危重新生儿中发生糖代谢紊乱64例,早产儿、低出生体重儿、巨大儿及轻度窒息患儿血糖紊乱以低血糖为主,重度窒息患儿血糖紊乱以高血糖为主。结论:危重新生儿血糖异常发生率高,积极监测血糖变化,及时纠正血糖紊乱,对提高治愈率,减少和避免后遗症的发生有重要意义。
Objective: To investigate the clinical significance of blood glucose monitoring in critically ill newborn. Methods: 582 cases of critically ill newborns admitted to hospital from October 2007 to March 2009 were monitored for blood glucose, and those with abnormal blood glucose were monitored until the fasting blood glucose was normal. Results: Among the 582 critically ill newborns, 64 patients had disorders of glucose metabolism. The predisposition of children with low birth weight, macrosomia and mild asphyxia was mainly due to hypoglycemia. The patients with severe asphyxia had hyperglycemia . Conclusion: The high incidence of critically ill newborns with abnormal blood glucose levels, the active monitoring of blood glucose changes, and timely correction of blood glucose disorders have important implications for improving the cure rate, reducing and avoiding the occurrence of sequelae.